NPIMap

Organization Active NPI

Chateau Foot and Ankle Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Braselton, GA
National Provider Identifier
1134568124
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000569 Issued in GA
Legal business name
CHATEAU FOOT AND ANKLE CENTER, LLC
Practice address
1515 River PL
Suite 140
Braselton, GA 30517-5602
Phone
(770) 648-5040
NPI assigned
Jun 23, 2013
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. Bradley David Castellano, D.P.M.NPI 1922079151
Title
Podiatrist-Owner
Phone
(770) 648-5040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD000569 GA Primary

Addresses

Primary practice location

1515 River PL
Suite 140
Braselton, GA 30517-5602

Mailing address

1515 River PL
Suite 140
Braselton, GA 30517-5602
Phone (770) 648-5040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1134568124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RIVER PL",
            "address_2": "SUITE 140",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175602",
            "telephone_number": "770-648-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RIVER PL",
            "address_2": "SUITE 140",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175602",
            "telephone_number": "770-648-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATEAU FOOT AND ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-23",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "CASTELLANO",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PODIATRIST-OWNER",
        "authorized_official_telephone_number": "770-648-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.