Provider Demographics
NPI:1508844671
Name:SCHMUGLER, BEATRICE ANNE (DPM)
Entity Type:Individual
Prefix:MS
First Name:BEATRICE
Middle Name:ANNE
Last Name:SCHMUGLER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MILVIA ST
Mailing Address - Street 2:SUITE 226
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2636
Mailing Address - Country:US
Mailing Address - Phone:510-841-5771
Mailing Address - Fax:510-841-5772
Practice Address - Street 1:2500 MILVIA ST
Practice Address - Street 2:SUITE 226
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2636
Practice Address - Country:US
Practice Address - Phone:510-841-5771
Practice Address - Fax:510-841-5772
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3823213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU32003Medicare UPIN
CA000E38231Medicare ID - Type Unspecified
CA5043030001Medicare NSC