Individual provider Active NPI

Bradley P Todd, DPM

  • Podiatrist
  • Fort Lauderdale, FL
National Provider Identifier
1285631382
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 3045 Issued in FL
Practice address
3367 Galt Ocean Drive
Fort Lauderdale, FL 33308-7002
Phone
(954) 566-2580
Fax
(954) 566-8929
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 3045 FL Primary
Foot Surgery Podiatrist 213ES0131X PO 3045 FL

Addresses

Primary practice location

3367 Galt Ocean Drive
Fort Lauderdale, FL 33308-7002

Mailing address

3367 Galt Ocean Drive
Fort Lauderdale, FL 33308-5968
Phone (954) 566-2580

Other identifiers 1

IdentifierTypeStateIssuer
340373400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090116000212 FL Practitioner - Podiatry 2365505393 Practice locations: Fort Lauderdale, FL; Wilton Manors, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1776 NE 26TH St
Williamsburg Landing
Wilton Manors, FL 33305-1429
Phone (954) 566-1775

3367 Galt Ocean Dr
Fort Lauderdale, FL 33308-7002
Phone (954) 566-2580

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Merit-based Incentive Payment System (MIPS)

Final score
89.6 of 100Reported as individual
Quality
73.58
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue127
Removal of skin lesions141
Removal of nail tissue1632
Removal or shaving of skin growth661
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3045FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Todd Podiatrist CurrentSince Jun 23, 1998 Accepting new patients

Locations

3367 Galt Ocean Dr
Ft Lauderdale, FL 33308
Phone (954) 566-2580

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1285631382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 GALT OCEAN DRIVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085968",
            "telephone_number": "954-566-2580",
            "fax_number": "954-566-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 GALT OCEAN DRIVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087002",
            "telephone_number": "954-566-2580",
            "fax_number": "954-566-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "BRADLEY",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 3045",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 3045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340373400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.