| Brian O'carroll, D.p.m., Inc. | |
|
911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | |
| (805) 481-9100 | |
| (805) 481-9199 |
| Full Name | Brian O'carroll, D.p.m., Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 911 Oak Park Blvd, Pismo Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427351535 | NPI | - | NPPES |
| 000E47580 | Other | CA | BLUE SHIELD |
| E4758 | Other | CA | CA MED LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4758 (California) | Primary |
| Provider Name | Brian David O Carroll |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336133768 PECOS PAC ID: 7517969769 Enrollment ID: I20080506000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian O'carroll, D.p.m., Inc. 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 Ph: (805) 481-9100 | Brian O'carroll, D.p.m., Inc. 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 Ph: (805) 481-9100 |
Byron Collier Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 Phone: 805-481-9100 | |
Dr. Brian David O'carroll, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449 Phone: 805-481-9100 Fax: 805-481-9199 | |
Coastal Podiatry Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2 James Way, Suite 205, Pismo Beach, CA 93449 Phone: 805-773-3668 Fax: 805-773-1043 | |
Byron N Collier, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 Phone: 805-481-9100 Fax: 805-481-9199 | |
Coastal Podiatry Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 2 James Way Ste 109, Pismo Beach, CA 93449 Phone: 805-773-3668 Fax: 805-773-1043 | |
Richard J Norman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2 James Way, Ste. 205, Pismo Beach, CA 93449 Phone: 805-773-3668 Fax: 805-773-1043 |