IndividualActive
Brian O'Neal, CPED
NPI 1649141920 · Pedorthist · Mesa, AZ
Provider details
- NPI number
- 1649141920
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPED
- Sex
- Male
- Sole proprietor
- Yes
- License
- CPED2705 (AZ)
Practice location
932 W Southern Ave Ste 7
Mesa, AZ 85210-4972
Phone: (480) 461-1940
Fax: (480) 461-3855
Mailing address
7127 E Jacob Ave
Mesa, AZ 85209-4027
Registry dates
- Enumerated
- 2025-09-17
- Last updated
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.