Individual provider Active NPI

Brooke Austin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
National Provider Identifier
1003109604
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3500 Issued in FL
Practice address
6101 Pine Ridge Rd
3Rd Floor
Naples, FL 34119-3900
Phone
(239) 304-5161
Fax
(239) 304-5193
NPI assigned
May 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X EL-1745 CA
Foot & Ankle Surgery Podiatrist 213ES0103X PO3500 FL Primary

Addresses

Primary practice location

6101 Pine Ridge Rd
3Rd Floor
Naples, FL 34119-3900

Mailing address

6101 Pine Ridge Rd
FL 3
Naples, FL 34119-3900
Phone (239) 566-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000457 FL Practitioner - Podiatry 5597936518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Gulfcoast Foot and Ankle Specialists LLC 2 clinicians

Practice addresses (Care Compare)

9915 Tamiami TRL N
Suite 1
Naples, FL 34108-1927
Phone (239) 566-8800

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue88
Removal of skin lesions13
Removal of nail tissue1032
Removal or shaving of skin growth1353
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL-1745CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfcoast Foot and Ankle Specialists Foot & Ankle Surgery CurrentSince Feb 8, 2017 Accepting new patients
Gulfcoast Foot and Ankle Specialists LLC Foot & Ankle Surgery CurrentSince Jun 26, 2017 Accepting new patients

Locations

24231 Walden Center Dr
Ste 120
Estero, FL 34134
Phone (239) 949-3399

3501 Health Center Blvd
Ste 2150
Estero, FL 34135
Phone (239) 949-3399

9915 Tamiami Trl N
Ste 1
Naples, FL 34108
Phone (239) 566-8800

6101 Pine Ridge Rd
Fl 3
Naples, FL 34119
Phone (239) 304-5161

Interoperability endpoints

  • Direct secure messaging: baustin@gcfas.emadirect.md
  • FHIR API: https://fhir-myrecord.cerner.com/r4/f9aed9f4-5c6e-4527-8cf9-3a241a404968/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1003109604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "address_2": "FL 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-566-8800",
            "fax_number": "239-566-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "address_2": "3RD FLOOR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-304-5161",
            "fax_number": "239-304-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "BROOKE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL-1745",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.