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Contact Information

BRIAN D CRISPELL
1078 W BALTIMORE PIKE
RIDDLE HEALTH CENTER 1, SUITE 209
MEDIA, PA19063-5105
 Phone: 610-334-7657
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN D CRISPELL · (Male)

NPI Number 1306806765
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2006
Last updated 06/13/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SC005698
  • PA Medicaid 1015531700005
  • PA Other 329832 MEDICARE PTAN
Hospital affiliation(s)
  • CROZER CHESTER MEDICAL CENTER - (Acute Care)
    ONE MEDICAL CENTER BOULEVARD
    UPLAND, PA 19013
  • RIDDLE MEMORIAL HOSPITAL - (Acute Care)
    1068 WEST BALTIMORE PIKE
    MEDIA, PA 19063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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