Individual provider Active NPI

Steven O'Bryant, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
National Provider Identifier
1386050060
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
868 Issued in AZ
Practice address
955 N McQueen Rd Ste 1
Chandler, AZ 85225-8129
Phone
(480) 744-6234
Fax
(480) 907-0500
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 868 AZ Primary

Addresses

Primary practice location

955 N McQueen Rd Ste 1
Chandler, AZ 85225-8129

Mailing address

955 N McQueen Rd Ste 1
Chandler, AZ 85225-8129
Phone (480) 744-6234

Other practice location 1

1831 E Queen Creek Rd
Building 8, Suite 119
Chandler, AZ 85286-2019
Phone (480) 917-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170825002511 AZ Practitioner - Podiatry 2668744657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

955 N McQueen Rd
Suite 1
Chandler, AZ 85225-8129
Phone (480) 744-6234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions11
Removal of nail tissue236
Removal or shaving of skin growth87
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
868AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Doc PLLC Podiatrist CurrentSince Apr 1, 2020 Accepting new patients
Foot Doc PLLC Primary Podiatric Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

10320 W McDowell Rd
Ste L1238
Avondale, AZ 85392
Phone (623) 643-9233

955 N McQueen Rd
Ste 1
Chandler, AZ 85225
Phone (480) 744-6234

955 N McQueen Rd
Ste 150
Chandler, AZ 85225

9305 W Thomas Rd
Ste 585
Phoenix, AZ 85037
Phone (623) 466-7580

9321 W Thomas Rd
Ste 300
Phoenix, AZ 85037
Phone (480) 744-6234

Organizations & group practices 2

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 1

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1386050060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N MCQUEEN RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258129",
            "telephone_number": "480-744-6234",
            "fax_number": "480-907-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N MCQUEEN RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258129",
            "telephone_number": "480-744-6234",
            "fax_number": "480-907-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 E Queen Creek Rd",
            "address_2": "Building 8, Suite 119",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852862019",
            "country_code": "US",
            "telephone_number": "480-917-2300",
            "fax_number": "480-917-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRYANT",
        "first_name": "STEVEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.