Brian Gerald Elliott, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07000949 Issued in IN

Practice address

275 West Bassett Rd.
Suite 4
Shelbyville, IN 46176

Phone

(317) 421-2663

Fax

(317) 825-5305

NPI assigned

Oct 4, 2006

Last updated

Dec 23, 2019By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PodiatryAlso: General Surgery

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Major Hospital Hospital, Shelbyville, IN, CCN 150097

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Major Multispecialty Associates

  dba MHP Behavioral Health

  • Internal Medicine Physician
  • Shelbyville, IN
  • NPI 1437398492

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Major Multispecialty Associates

  dba MHP Force Orthopaedics

  • Orthopaedic Surgery Physician
  • Shelbyville, IN
  • NPI 1245405869
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1255426391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 WEST BASSETT RD.",
            "address_2": "SUITE 4",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "46176",
            "telephone_number": "317-421-2663",
            "fax_number": "317-825-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 WEST BASSETT RD.",
            "address_2": "SUITE 4",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "46176",
            "telephone_number": "317-421-2663",
            "fax_number": "317-825-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "BRIAN",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200450000",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200413870",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Bala and Associates a Major Health Partner LLC (Dr Bala and Associates)
• Elizabeth Anne Duffy, LMHC
• Duran Back Pain Chiropractic Clinic, Inc. (Duran Zormeier Center)
• Daniel P Duran, DC
• Evan Ray Eckart, MD
• Emily Ellis, PHARMD
• Ashli Brooke Elrod, MD
• Emhardt Pediatric Dentistry LLC
• ER Counseling LLC
• Emily Adah Espich

• Foot & Ankle Surgery Podiatrist in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.