Michael Brondon

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36003616 Issued in OH

Practice address

77 W Elmwood Dr Ste 311
Dayton, OH 45459-4278

Phone

(937) 433-0444

Fax

(937) 433-0405

NPI assigned

Jul 2, 2010

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Podiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brondon Foot and Ankle LLCGroup PAC ID 0547417057, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.07 of 100Reported as individual

Quality

78.68

Promoting interoperability

76

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brondon Foot and Ankle LLC

  • Podiatrist
  • Dayton, OH
  • NPI 1548518871
  Medicare reassignment Care Compare group NPD Authorized official
• Brondon Foot and Ankle LLC

  • Podiatrist
  • Monroe, OH
  • NPI 1417365313
  NPD Authorized official
• Centerville Foot and Ankle Specialists LLC

  • Podiatric Clinic/Center
  • Dayton, OH
  • NPI 1033551999
  Authorized official Same address or phone

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1215249529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR STE 311",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594278",
            "telephone_number": "937-433-0444",
            "fax_number": "937-433-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR STE 311",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594278",
            "telephone_number": "937-433-0444",
            "fax_number": "937-433-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONDON",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070517",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D. Richard Bromberg, PH.D.
• Diann M. Bromberg, LISW
• Tania Bronaugh
• Brondon Foot and Ankle LLC
• Bridget Brondon, DPM
• Nikeeta Bronston, CDCA
• Brookdale Senior Living Communities Inc (Sterling House Beavercreek)
• Brooke's Gift of Love Homecare LLC
• Lori Brookhart
• Seth Anthony Brookhart

• Podiatrist in Dayton, OH
• Providers in Dayton, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.