Active NPI
Brett James Dupont, DPM
- Foot & Ankle Surgery Podiatrist
- Sonoma, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5537
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E5537 | Other | CA | PODIATRIC MEDICAL BOARD OF CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 19 |
| Removal of skin lesions | 122 |
| Removal of nail tissue | 230 |
| Removal or shaving of skin growth | 157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5537 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 5537 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Thomas DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Dupontdpm Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic LLC | Foot & Ankle Surgery | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Sonoma, CA
- NPI 1780211458
-
- Podiatrist
- Salisbury, MD
- NPI 1801156815
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Kingston, PA
- NPI 1215370986
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.