Organization Active NPI

Bryan Calvo DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1063759645
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3401 Issued in FL
Legal business name
BRYAN CALVO DPM PA
Practice address
7190 SW 87TH Ave
Suite 205
Miami, FL 33173-2507
Phone
(305) 595-7808
Fax
(305) 595-7809
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Bryan Calvo, DPMNPI 1669705513
Title
Owner
Phone
(305) 595-7808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3401 FL Primary

Addresses

Primary practice location

7190 SW 87TH Ave
Suite 205
Miami, FL 33173-2507

Mailing address

7190 SW 87TH Ave
Suite 205
Miami, FL 33173-2507
Phone (305) 595-7808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141009002641 FL Part B Supplier - Clinic/Group Practice 0547480790 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL
O20150626001701 FL DME Supplier - Physician - Podiatry 0547480790 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

12595 SW 137th Ave
Ste 302
Miami, FL 33186
Phone (305) 595-7808

7190 SW 87th Ave
Ste 205
Miami, FL 33173
Phone (305) 595-7808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1063759645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7190 SW 87TH AVE",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732507",
            "telephone_number": "305-595-7808",
            "fax_number": "305-595-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 SW 87TH AVE",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732507",
            "telephone_number": "305-595-7808",
            "fax_number": "305-595-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN CALVO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "CALVO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-595-7808",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.