Individual provider Active NPI

Trenten A Prioleau, DPM

  • Podiatrist
  • Columbia, SC
National Provider Identifier
1104129790
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
613 Issued in SC
Practice address
1228 Harden St
Columbia, SC 29204-1800
Phone
(803) 744-0540
Fax
(803) 217-0026
NPI assigned
Dec 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 613 SC Primary

Addresses

Primary practice location

1228 Harden St
Columbia, SC 29204-1800

Mailing address

1228 Harden St
Columbia, SC 29204-1800
Phone (803) 744-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110331000170 SC Practitioner - Podiatry 4981887783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, shared by 11 NPIs, 226 clinicians

Practice addresses (Care Compare)

1228 Harden St
Columbia, SC 29204-1800

2200 Harden St
Columbia, SC 29203-7107
Phone (803) 898-8405

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue65
Removal or shaving of skin growth13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 29, 2013 Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Jan 3, 2011 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 29, 2013 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 29, 2013 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Jan 3, 2011 Accepting new patients

Locations

1228 Harden St
Ste C
Columbia, SC 29204
Phone (803) 748-1181

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

1228 Harden St
Ste A
Columbia, SC 29204
Phone (803) 722-1565

2200 Harden St
Columbia, SC 29203
Phone (803) 737-5300

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

1228 Harden St
Columbia, SC 29204
Phone (803) 744-0540

2414 Bull St
#3183
Columbia, SC 29201

3800 N Main St
Ste B
Columbia, SC 29203
Phone (803) 705-3172

3041 Old Eastover Rd
Eastover, SC 29044
Phone (803) 353-8741

9023 Garners Ferry Rd
Hopkins, SC 29061
Phone (803) 978-1848

2525 Kinard St
Newberry, SC 29108
Phone (803) 276-4860

500 N 12th St
West Columbia, SC 29169
Phone (803) 217-0415

Interoperability endpoints

  • Direct secure messaging: trenten.prioleau.1@10781.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1104129790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-744-0540",
            "fax_number": "803-217-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-744-0540",
            "fax_number": "803-217-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOLEAU",
        "first_name": "TRENTEN",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-21",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.