Individual provider Active NPI

Brett James Dupont, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sonoma, CA
National Provider Identifier
1215377635
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5537 Issued in CA
Practice address
651 1St St W
Sonoma, CA 95476-7045
Phone
(707) 938-1977
Fax
(410) 749-6807
NPI assigned
Jun 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5537 CA Primary

Addresses

Primary practice location

651 1St St W
Sonoma, CA 95476-7045

Mailing address

651 1St St W
Sonoma, CA 95476-7045
Phone (707) 938-1977

Other identifiers 1

IdentifierTypeStateIssuer
E5537OtherCAPODIATRIC MEDICAL BOARD OF CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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

Enrollment IDStateProvider typePAC IDDetails
I20160603000256 MD Practitioner - Podiatry 9133419120
I20200609000011 CA Practitioner - Podiatry 9133419120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

181 Andrieux St
Suite 107
Sonoma, CA 95476-6920
Phone (707) 938-1977

490 Post St
Suite 239
San Francisco, CA 94102-1403
Phone (510) 704-3065

6699 Telegraph Ave
Oakland, CA 94609-1115
Phone (510) 704-3065

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue19
Removal of skin lesions122
Removal of nail tissue230
Removal or shaving of skin growth157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5537CAMDFoot & Ankle Surgery Podiatrist
5537CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Thomas DPM PC Foot & Ankle Surgery CurrentSince Jul 17, 2017 Accepting new patients
Dupontdpm Inc. Foot & Ankle Surgery CurrentSince Apr 1, 2020 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic LLC Foot & Ankle Surgery CurrentSince Jul 17, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6699 Telegraph Ave
Ste 105
Oakland, CA 94609
Phone (510) 704-3065

6699 Telegraph Ave
Ste 111
Oakland, CA 94609
Phone (510) 704-3065

6699 Telegraph Ave
Oakland, CA 94609

490 Post St
Ste 239
San Francisco, CA 94102
Phone (415) 559-4429

651 1st St W
Ste G
Sonoma, CA 95476
Phone (415) 968-6515

181 Andrieux St
Sonoma, CA 95476
Phone (707) 938-1030

181 Andrieux St
Ste 107
Sonoma, CA 95476
Phone (707) 938-1040

651 1st St W
Sonoma, CA 95476
Phone (707) 645-7210

560 Riverside Dr
Ste A101
Salisbury, MD 21801
Phone (410) 749-0121

Interoperability endpoints

  • Direct secure messaging: bdupont461762@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1215377635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 1ST ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767045",
            "telephone_number": "707-938-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 1ST ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767045",
            "telephone_number": "707-938-1977",
            "fax_number": "410-749-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "BRETT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-29",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC MEDICAL BOARD OF CA",
            "identifier": "E5537",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.