Brandon James Slade, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4945 Issued in CA

Practice address

1551 Bishop St
San Luis Obispo, CA 93401-4635

Phone

(805) 543-7788

Fax

(805) 543-7828

NPI assigned

Nov 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 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

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waves Foot and Ankle, Inc.Group PAC ID 4385146596, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.slade.p1@direct.sythc.nextgenshare.com
• Direct secure messaging: brandon.slade@3324.securemail.prognocis.com

Practitioners 1

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

• Casey Bowen Fillerup

  • Foot & Ankle Surgery Podiatrist
  • Santa Maria, CA
  • NPI 1093229650
  Medicare reassignment

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.

• Waves Foot and Ankle Inc.

  • Foot & Ankle Surgery Podiatrist
  • Santa Maria, CA
  • NPI 1851109318
  Medicare reassignment Care Compare group NPD Authorized official
• Slade Podiatry

  • Podiatrist
  • Santa Maria, CA
  • NPI 1962977272

  Foot & Ankle Surgery

  NPD Authorized official
• Dignity Community Care

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  NPD (past)
• Physicians Healthcare Partners, Inc.

  • Ambulatory Surgical Clinic/Center
  • Templeton, CA
  • NPI 1841396850
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1154576239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014635",
            "telephone_number": "805-543-7788",
            "fax_number": "805-543-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014635",
            "telephone_number": "805-543-7788",
            "fax_number": "805-543-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4945",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "41000226A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FH048Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Skaarup
• Carinn Skarry
• Jessica Skeels-Hansen, PT
• Keith D Skromme
• Slade DMD Corporation
• Clinton Andrew Slaughter, M.D.
• Laura Dawn Slaughter, RN, FNP-C
• Elisabeth Sledz, MD
• Sleeptech, LLC
• Samuel Slishman, MD

• Foot & Ankle Surgery Podiatrist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.