Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bruce Theall DPM LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1043518913

Bruce Theall DPM LLC is a Foot & Ankle Surgery Podiatrist in East Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

310 Central Ave Ste 301
East Orange, NJ 07018-2835
Phone: (973) 673-3668
Fax: (862) 252-9542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X (NJ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (NJ)

Record details

NPI number1043518913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Theall — Owner/Medical Director · (973) 673-3668
NPI enumeratedMarch 2, 2011
Last updated in NPPESDecember 10, 2013
Mailing address310 Central Avenue, Suite 301, East Orange, NJ 07018-2835

Other providers in East Orange