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BRUCE THEALL DPM LLC
NPI 1043518913
Podiatrist - Foot & Ankle Surgery in East Orange, NJ

Active since March 02, 2011
310 CENTRAL AVENUE, SUITE 301, EAST ORANGE, NJ 07018(973) 673-3668(862) 252-9542 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bruce Theall Dpm Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE THEALL DPM LLC (NPI 1043518913) is a healthcare organization registered as a foot & ankle surgery in East Orange, New Jersey and active in the NPI registry since March 2011. The organization lists Bruce P Theall, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1043518913
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBRUCE THEALL DPM LLC
Location Address310 CENTRAL AVENUE, SUITE 301East Orange, NJ 07018-2835
Mailing Address310 Central Avenue, Suite 301East Orange, NJ 07018-2835 · (973) 673-3668 · Fax (862) 252-9542
Phone(973) 673-3668
Fax(862) 252-9542
Organization SubpartNo
Authorized OfficialBruce P TheallOwner/medical Director · (973) 673-3668
Enumeration DateMarch 2, 2011
Last NPPES UpdateDecember 10, 2013
✔ NPI 1043518913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
310 CENTRAL AVENUE, East Orange, NJ 07018
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Other Identifiers 1

Medicare NSC6577680001NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANJAYKUMAR SHAH APN
Nurse Practitioner (Acute Care)
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (973) 395-1550
MR. YASH K KHANNA MD
Pediatrics
310 CENTRAL AVENUE, SUITE 305
EAST ORANGE, NJ 07018
Essex County (973) 678-2900
NEUROSURGICAL MONITORING ASSOCIATES, LLC
Specialist/Technologist, Other (Electroneurodiagnostic)
310 CENTRAL AVENUE, SUITE 203
EAST ORANGE, NJ 07018
Essex County (862) 343-7278
DR. CHRISTOPHER MORRELL M.D.
Family Medicine
310 CENTRAL AVENUE
EAST ORANGE, NJ 07018
Essex County (973) 515-8170
JAMILA B JONES APN
Nurse Practitioner (Adult Health)
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (973) 395-1550
JANIECE HOWELL APN
Nurse Practitioner (Adult Health)
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (973) 395-1550
RADHIKA BAWA MD
Internal Medicine
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (973) 395-1550
YVELINE AUGUSTE APN
Nurse Practitioner (Family)
310 CENTRAL AVENUE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (973) 395-1550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Theall Dpm LLC's NPI number?

The NPI number for Bruce Theall Dpm LLC is 1043518913. It was assigned to this organization in the NPPES registry on March 2, 2011.

Where is Bruce Theall Dpm LLC located?

Bruce Theall Dpm LLC is located at 310 Central Avenue Suite 301, East Orange, NJ 07018. The listed phone number is (973) 673-3668.

What is Bruce Theall Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Bruce Theall Dpm LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Bruce Theall Dpm LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Theall Dpm LLC was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.