Organization Active NPI

Palm Beach Family Foot Care, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Delray Beach, FL
National Provider Identifier
1205853009
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
P02926 Issued in FL
Legal business name
PALM BEACH FAMILY FOOT CARE, P.A.
Practice address
15300 Jog Road
Suite #110
Delray Beach, FL 33446-2164
Phone
(561) 498-9066
Fax
(561) 498-9068
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Mr. Brian S. Frenchman, D.P.M.NPI 1396929808
Title
President
Phone
(561) 498-9066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X P02926 FL Primary

Addresses

Primary practice location

15300 Jog Road
Suite #110
Delray Beach, FL 33446-2164

Mailing address

15300 Jog Road
Suite #110
Delray Beach, FL 33446-2164
Phone (561) 498-9066

Other identifiers 1

IdentifierTypeStateIssuer
340213400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000170 FL Part B Supplier - Clinic/Group Practice 3779534441 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

15204 S Jog Rd
Ste 304
Delray Beach, FL 33446
Phone (561) 498-7200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1205853009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 JOG ROAD",
            "address_2": "SUITE #110",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462164",
            "telephone_number": "561-498-9066",
            "fax_number": "561-498-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 JOG ROAD",
            "address_2": "SUITE #110",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462164",
            "telephone_number": "561-498-9066",
            "fax_number": "561-498-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH FAMILY FOOT CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "FRENCHMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-498-9066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "P02926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340213400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.