Individual provider Active NPI

Brian David Finke, DPM

  • Podiatrist
  • Tamarac, FL
National Provider Identifier
1245217876
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1234 Issued in FL
Practice address
7144 N Nob Hill Rd
Tamarac, FL 33321-1839
Phone
(954) 720-5922
Fax
(954) 722-5062
NPI assigned
Dec 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1234 FL Primary

Addresses

Primary practice location

7144 N Nob Hill Rd
Tamarac, FL 33321-1839

Mailing address

7144 N Nob Hill Rd
Tamarac, FL 33321-1839
Phone (954) 720-5922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000501 FL Practitioner - Podiatry 7517980642 Reassigns benefits to 1 organization
Practice locations: Okeechobee, FL; Tamarac, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1234FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Podiatry LLC CurrentSince Jun 1, 2023 Accepting new patients
Point Plaza Footcare Inc Podiatrist PastSince Aug 12, 2003 Accepting new patients
Block & Jacobs PA Podiatrist Past Accepting new patients

Locations

7800 W Oakland Park Blvd
Ste 108
Sunrise, FL 33351
Phone (954) 742-7003

Organizations & group practices 3

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": "1135382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1245217876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7144 N NOB HILL RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211839",
            "telephone_number": "954-720-5922",
            "fax_number": "954-722-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7144 N NOB HILL RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211839",
            "telephone_number": "954-720-5922",
            "fax_number": "954-722-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKE",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-24",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.