Individual provider Active NPI

Brendon Taylor Zelna

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1376885517
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3745 Issued in FL
Practice address
6450 38TH Ave N
Suite 310
St Petersburg, FL 33710-1645
Phone
(727) 347-8872
Fax
(727) 343-6670
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3745 FL Primary

Addresses

Primary practice location

6450 38TH Ave N
Suite 310
St Petersburg, FL 33710-1645

Mailing address

6450 38TH Ave N
Suite 310
St Petersburg, FL 33710-1645
Phone (727) 347-8872

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
I20160610000588 FL Practitioner - Podiatry 7315162559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Foot and Ankle Specialists LLCGroup PAC ID 5698065373, 2 clinicians

Practice addresses (Care Compare)

7035 1St Ave S
St Petersburg, FL 33707-1203
Phone (727) 347-8872

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue179
Removal of skin lesions1-10
Removal of nail tissue266
Removal or shaving of skin growth250
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3745FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Foot & Ankle Specialists LLC Podiatrist CurrentSince May 1, 2016 Accepting new patients

Locations

6450 38th Ave N
Ste 310
St Petersburg, FL 33710
Phone (727) 333-5420

7035 1st Ave S
St Petersburg, FL 33707
Phone (727) 345-6337

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCECBD/Endpoint/JCECBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCECBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1376885517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE 310",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-347-8872",
            "fax_number": "727-343-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE 310",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-347-8872",
            "fax_number": "727-343-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELNA",
        "first_name": "BRENDON",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.