Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
ELION BRACE
Active
Individual
ELION BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A105638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF9657
MEDICARE PTAN
CA
01
—
W14158
GROUP PTAN
CA
Enumeration date
05/02/2008
Last updated
12/21/2015
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