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FOOT SOLUTIONS-FT WAYNE
NPI 1710915731
Durable Medical Equipment & Medical Supplies in Fort Wayne, IN

Active since June 29, 2006
513 E COLISEUM BLVD, FORT WAYNE, IN 46805(260) 484-8966(260) 484-0508 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Foot Solutions-ft Wayne NPPES

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

FOOT SOLUTIONS-FT WAYNE (NPI 1710915731) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Wayne, Indiana and active in the NPI registry since June 2006. The organization lists Douglas Rex Bruick, Owner, as its authorized official.

NPPES Registry Identity

NPI1710915731
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDERA, INC
Location Address513 E COLISEUM BLVDFort Wayne, IN 46805-1215
Mailing Address513 E Coliseum BlvdFort Wayne, IN 46805-1215 · (260) 484-8966 · Fax (260) 484-0508
Phone(260) 484-8966
Fax(260) 484-0508
Organization SubpartNo
Authorized OfficialDouglas Rex BruickOwner · (260) 484-8966
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 13, 2012
✔ NPI 1710915731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
513 E COLISEUM BLVD, Fort Wayne, IN 46805
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Other Names 1

Doing Business AsFoot Solutions-ft Wayne

Other Identifiers 1

Medicare ID-Type Unspecified4845620001

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 Dera, Inc's NPI number?

The NPI number for Dera, Inc is 1710915731. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Foot Solutions-Ft Wayne.

Where is Dera, Inc located?

Dera, Inc is located at 513 E Coliseum Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 484-8966.

What is Dera, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Dera, Inc was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.