Individual provider Active NPI

Brian Mattison, DPM

  • Foot & Ankle Surgery Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1407384688
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4092 Issued in FL
Practice address
3695 W Boynton Beach Blvd Ste 4
Boynton Beach, FL 33436-4516
Phone
(561) 364-5522
Fax
(561) 364-9828
NPI assigned
May 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO4092 FL Primary

Addresses

Primary practice location

3695 W Boynton Beach Blvd Ste 4
Boynton Beach, FL 33436-4516

Mailing address

3695 W Boynton Beach Blvd Ste 4
Boynton Beach, FL 33436-4516
Phone (561) 364-5522

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
I20191119002873 FL Practitioner - Podiatry 5294167821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Lakes Podiatry Group PAGroup PAC ID 4082667290, 3 clinicians

Practice addresses (Care Compare)

3695 W Boynton Beach Blvd
Boynton Beach, FL 33436-4516
Phone (561) 364-5522

Hospital & facility affiliations

  • All About You Home Health Agency Inc Home health agency, Boca Raton, FL, CCN 109462
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue138
Removal of skin lesions1-10
Removal of nail tissue208
Removal or shaving of skin growth156
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4092FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Lakes Podiatry Group PA Single Specialty CurrentSince Nov 20, 2019 Accepting new patients
Brian Mattison DPM PA Foot & Ankle Surgery PastSince Jun 23, 2025 Accepting new patients

Locations

3695 W Boynton Beach Blvd
Ste 4
Boynton Beach, FL 33436
Phone (561) 364-5522

3695 W Boynton Beach Blvd
Boynton Beach, FL 33436
Phone (561) 364-5522

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 2

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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1407384688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 W BOYNTON BEACH BLVD STE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364516",
            "telephone_number": "561-364-5522",
            "fax_number": "561-364-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 W BOYNTON BEACH BLVD STE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364516",
            "telephone_number": "561-364-5522",
            "fax_number": "561-364-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.