Individual provider Active NPI

Robert Brennon Middleton, DPM

  • Podiatrist
  • Columbus, IN
National Provider Identifier
1184201329
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07001459A Issued in IN
Practice address
4665 N US Highway 31
Columbus, IN 47201-8558
Phone
(812) 376-9353
Fax
(812) 376-3757
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07001459A IN Primary

Addresses

Primary practice location

4665 N US Highway 31
Columbus, IN 47201-8558

Mailing address

4665 N US Highway 31
Columbus, IN 47201-8558
Phone (812) 376-9353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240531001997 IN Practitioner - Podiatry 0648672667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Indiana Orthopedics IncGroup PAC ID 0941281836, 18 clinicians

Practice addresses (Care Compare)

4665 N US Hwy 31
Columbus, IN 47201-8558
Phone (812) 376-9353

Hospital & facility affiliations

  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065
  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue195
Removal of skin lesions1-10
Removal of nail tissue322
Removal or shaving of skin growth62
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001459AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Orthopedics Inc Podiatrist CurrentSince Jul 20, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

4665 N US Highway 31
Columbus, IN 47201
Phone (812) 376-9353

Interoperability endpoints

  • Direct secure messaging: rmiddleton54979@edirect.crh.org

Organizations & group practices 2

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 5

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1184201329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 N US HIGHWAY 31",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018558",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 N US HIGHWAY 31",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018558",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "ROBERT",
        "middle_name": "BRENNON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001459A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.