Individual provider Active NPI

Joseph S. Borreggine, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1114921483
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3812 Issued in FL
Practice address
2540 Winkler Ave
Fort Myers, FL 33901-9338
Phone
(239) 278-4100
Fax
(239) 278-3907
NPI assigned
Jun 2, 2005
Reactivated
Apr 11, 2006
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3812 FL Primary

Addresses

Primary practice location

2540 Winkler Ave
Fort Myers, FL 33901-9338

Mailing address

2540 Winkler Ave
Fort Myers, FL 33901-9338
Phone (239) 278-4100

Other practice location 1

1003 Del Prado Blvd S Ste 303
Cape Coral, FL 33990-3601
Phone (239) 689-3843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040622000114 IL Practitioner - Podiatry 0941285431 Reassigns benefits to 1 organization
I20201009001670 FL Practitioner - Podiatry 0941285431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians
Timothy C Runyon DPM PAGroup PAC ID 4486568250, 8 clinicians

Practice addresses (Care Compare)

168 N Clinton St
FL 3
Chicago, IL 60661-1425
Phone (847) 504-5000

2540 Winkler Ave
Fort Myers, FL 33901-9338
Phone (239) 278-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions14
Removal of nail tissue767
Removal or shaving of skin growth136
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3812FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy C. Runyon, DPM, PA Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Timothy C. Runyon, D.P.M. P.a. Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Advanced Foot and Ankle Care, Inc. Single Specialty CurrentSince Nov 1, 2020 Accepting new patients
Advanced Foot & Ankle Center Inc Single Specialty PastSince Dec 1, 2020 Accepting new patients

Locations

1003 Del Prado Blvd S
Ste 303
Cape Coral, FL 33990
Phone (239) 689-3843

2540 Winkler Ave
Fort Myers, FL 33901
Phone (239) 278-4100

4801 Swift Rd
Ste F
Sarasota, FL 34231
Phone (941) 921-3000

1401 16th St N
St Petersburg, FL 33704
Phone (727) 894-0794

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1114921483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-278-4100",
            "fax_number": "239-278-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-278-4100",
            "fax_number": "239-278-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Del Prado Blvd S Ste 303",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903601",
            "country_code": "US",
            "telephone_number": "239-689-3843",
            "fax_number": "239-689-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORREGGINE",
        "first_name": "JOSEPH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "3812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.