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1134682818 NPI number — BRIAN F NOWLEN DPM

NPI Number: 1134682818
Health Care Provider/Practitioner: BRIAN F NOWLEN DPM

Information about “1134682818” NPI (BRIAN F NOWLEN DPM) exists in 1134682818 in HTML format HTML  |  1134682818 in plain Text format TXT  |  1134682818 in PDF (Portable Document Format) PDF  |  1134682818 in an XML format XML  formats.

NPI Number : 1134682818 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134682818",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOWLEN",
    "FirstName": "BRIAN",
    "MiddleName": "F",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "350 WOODRIDGE CIR UNIT E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH ELGIN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60177-2388",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-681-6595",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1808 SHERMAN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PRINCETON",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47670-1043",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "812-385-9328",
    "PracticeLocationAddressFaxNumber": "812-385-9329",
    "EnumerationDate": "04/10/2019",
    "LastUpdateDate": "09/16/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "213ES0103X",
          "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
          "LicenseNumber": "07001404A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "213ES0103X",
          "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
          "LicenseNumber": "135.001055",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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