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MARSHALL F. BRUSTEIN M.D. NPI 1801046958


NPI Information

NPI: 1801046958
Provider Name: MARSHALL F. BRUSTEIN M.D.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
304 W HAY ST
SUITE 112
DECATUR, IL
ZIP 62526
Phone: (217) 872-8204
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MARSHALL F. BRUSTEIN M.D. is an orthopaedic surgery in Decatur, IL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MARSHALL F. BRUSTEIN M.D. NPI is 1801046958. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

304 W HAY ST
SUITE 112
DECATUR, IL
ZIP 62526-328
Phone: (217) 872-8204

The provider's authorized official is Marshall F. Brustein .
The authorized official title is Owner and has the following contact phone number (217) 872-8204.

The enumeration date for this NPI number is 9/25/2008 and was last updated on 9/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational Therapist056006099ILLINOISNo
2225X00000XOccupational Therapist056005019ILLINOISNo
3332B00000XDurable Medical Equipment & Medical Supplies036104593ILLINOISNo
4207X00000XOrthopaedic Surgery036104593ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036104593MEDICAIDILLINOIS
24604910001MEDICARE NSCILLINOIS
3206887MEDICARE PINILLINOIS
4206888MEDICARE PINILLINOIS
5H17105MEDICARE UPINILLINOIS
6202268MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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