Physician Compare National (NPI:1366437774)

HEALTHCARE PROVIDER: MICHAEL NEBEL DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366437774
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072509868
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040426000729
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NEBEL
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	15 W PROSPECT ST
	Group Practice or individual's line 1 address
City	E BRUNSWICK
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	088161081
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7322386222
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M