MR. RANDY L PURCELL PA-C
NPI 1407963713
Physician Assistant in West Bend, WI

Active since August 23, 2006
205 VALLEY AVE, WEST BEND, WI 53095(262) 338-1123 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Randy L Purcell Pa-c NPPES

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

MR. RANDY L PURCELL PA-C (NPI 1407963713) is an individual physician assistant in West Bend, Wisconsin, licensed in Wisconsin (322-023) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1407963713
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RANDY L PURCELLCredential: PA-C
Location Address205 VALLEY AVEWest Bend, WI 53095-5312
Mailing Address3003 W Good Hope RdMilwaukee, WI 53209-2042 · (414) 352-3100
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateDecember 3, 2012
NPI 1407963713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 322-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
205 VALLEY AVE, West Bend, WI 53095

Other Identifiers 4

Medicare UPINR97690
Medicaid42906500WI
Medicare PIN462364846WI
Medicare PIN019940620WI

Other Providers at the Same Location NPPES 20

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

Chiropractor
205 VALLEY AVE
WEST BEND, WI 53095
Durable Medical Equipment & Medical Supplies
205 VALLEY AVE
WEST BEND, WI 53095
Chiropractor
205 VALLEY AVE
WEST BEND, WI 53095
Pediatrics
205 VALLEY AVE
WEST BEND, WI 53095
Physician Assistant
205 VALLEY AVE
WEST BEND, WI 53095
Optometrist
205 VALLEY AVE
WEST BEND, WI 53095
Pharmacy
205 VALLEY AVE
WEST BEND, WI 53095
Physician Assistant
205 VALLEY AVE
WEST BEND, WI 53095

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 Randy Purcell's NPI number?

The NPI number for Randy Purcell is 1407963713. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Randy Purcell located?

Randy Purcell practices at 205 Valley Ave, West Bend, WI 53095. The listed phone number is (262) 338-1123.

What is Randy Purcell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Randy Purcell was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.