Individual provider Active NPI

Brian C Rell, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lakewood Ranch, FL
National Provider Identifier
1124184064
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2993 Issued in FL
Practice address
6310 Health Park Way
Suite 345
Lakewood Ranch, FL 34202-5177
Phone
(941) 256-9191
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 PO2993 FL Primary

Addresses

Primary practice location

6310 Health Park Way
Suite 345
Lakewood Ranch, FL 34202-5177

Mailing address

6310 Health Park Way Ste 230
Lakewood Ranch, FL 34202-5177
Phone (941) 256-9191

Other identifiers 3

IdentifierTypeStateIssuer
PO2993OtherFLFLORIDA LICENSE
591466615OtherFLTAX ID
340287800MedicaidFL

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
I20041001000309 FL Practitioner - Podiatry 7810966306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6310 Health Park Way
Lakewood Ranch, FL 34202-5177
Phone (941) 256-9191

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of nail tissue267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Foot & Ankle LLC Foot & Ankle Surgery CurrentSince Apr 6, 2017 Accepting new patients
Center for Foot and Ankle Disorders, P.a. Foot & Ankle Surgery PastSince Jul 14, 2004 Accepting new patients
West Coast Podiatry Center, Inc. Foot & Ankle Surgery PastSince Aug 5, 1996 Accepting new patients
Rejuva Dermatology & Vein Center, PLLC PastSince Mar 1, 2021 Accepting new patients

Locations

6310 Health Park Way
Ste 230
Lakewood Ranch, FL 34202
Phone (941) 907-1113

6310 Health Park Way
Ste 345
Lakewood Ranch, FL 34202
Phone (941) 256-9191

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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 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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1124184064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 HEALTH PARK WAY STE 230",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025177",
            "telephone_number": "941-256-9191",
            "fax_number": "941-355-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 HEALTH PARK WAY",
            "address_2": "SUITE 345",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025177",
            "telephone_number": "941-256-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELL",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "PO2993",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "591466615",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340287800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.