National Provider Identifier
Jerod Alan Buell, DO
Jerod Alan Buell, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Elmira, NY and a listed phone number of (607) 734-1581.
Profile Overview
- NPI
- 1295230514
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 28, 2018
- Last Updated
- September 29, 2021
Practice Location
- 200 Madison Ave Fl 3
- Elmira, NY 14901-3219
Phone: (607) 734-1581
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1295230514
- Entity Type
- Individual
- Last Name
- Buell
- First Name
- Jerod
- Middle Name
- Alan
- Credential
- DO
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 200 Madison Ave Fl 3
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3219
- Practice Country
- US
- Practice Phone
- (607) 734-1581
- Practice Fax
- (607) 734-0972
- Enumeration Date
- March 28, 2018
- Last Updated
- September 29, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 29, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)