Brian Martin, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2004019390 Issued in MO

Practice address

606 Maple Valley Dr
Farmington, MO 63640-1976

Phone

(573) 756-7779

Fax

(888) 849-3965

NPI assigned

Apr 24, 2006

Last updated

Dec 4, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Podiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, shared by 9 NPIs, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ste Genevieve County Memorial Hospital Hospital, Sainte Genevieve, MO, CCN 261330

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brianmartin@mhccaremail.com

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.

• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655
  Medicare reassignment NPD
• Ste Genevieve County Memorial Hospital

  dba Bloomsdale Family Health Care

  • Rural Health Clinic/Center
  • Bloomsdale, MO
  • NPI 1184658387
  Medicare reassignment NPD
• Van Ness Orthopedics & Sports Medicine Inc

  • Orthopaedic Surgery Physician
  • Farmington, MO
  • NPI 1477579860
  Medicare reassignment NPD
• Analytical Pathology Services LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Louis, MO
  • NPI 1558343673
  NPD
• Ste Genevieve County Memorial Hospital

  dba Ste Genevieve Orthopedics

  • Orthopaedic Surgery Physician
  • Ste Genevieve, MO
  • NPI 1508915372
  NPD
• Ste. Genevieve County Memorial Hospital

  dba Bloomsdale Specialty Clinic

  • Foot Surgery Podiatrist
  • Bloomsdale, MO
  • NPI 1104692946
  NPD

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

• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655
  Care Compare affiliation

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1336105873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-7779",
            "fax_number": "888-849-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-7779",
            "fax_number": "888-849-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRIAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005263",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2004019390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maple Ridge Residential Care Center, LLC
• Maple Ridge Residential Care LLC
• Marathon Health, LLC (Marathon Health, Farmington MO- Maple Valley Dr)
• Marissa Phegley LPC LLC
• Hannah Jane Marler
• Jockese Martin, A.S.S.
• Eliot G Masek, O.D.
• April Vurniel Mason
• Cheryl Lynn Mason, BS
• Shawn Masters, LPC

• Foot & Ankle Surgery Podiatrist in Farmington, MO
• Providers in Farmington, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.