Bryan A Spooner, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P02786 Issued in FL

Practice address

1866 Buford Blvd
Tallahassee, FL 32308

Phone

(850) 878-6998

Fax

(850) 656-9293

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

No

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 FL, GA2 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

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Podiatry Associates PAGroup PAC ID 1759333198, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
• Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1b51b01a-cf35-4022-974c-7633d8b348f9/

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.

• Tallahassee Podiatry Associates PA

  • Podiatrist
  • Tallahassee, FL
  • NPI 1821051962

  GA

  Medicare reassignment Care Compare group NPD
• Bond Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tallahassee, FL
  • NPI 1396718409
  Medicare reassignment NPD
• Bond Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tallahassee, FL
  • NPI 1770084824
  NPD
• Tallahassee Podiatry Associates PA

  • Podiatrist
  • Crawfordville, FL
  • NPI 1407612815
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation
• John D Archbold Memorial Hospital Inc

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702
  Care Compare affiliation
• John D. Archbold Memorial Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Thomasville, GA
  • NPI 1104867738
  Care Compare affiliation

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1245294933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-878-6998",
            "fax_number": "850-656-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-878-6998",
            "fax_number": "850-656-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "BRYAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P02786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390495400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spine Injury Professionals ,LLC
• Alea Spires, PA
• Janis Spitzer, L.C.S.W., ATR-BC
• Carol Spivey, ARNP
• Audrey Spooner
• Rachel Sposato
• Jessica Spraggins Rochford
• Jada Spraggins
• Caitlyn Marie Spring
• Trista Sprissler

• Podiatrist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.