Organization Active NPI

Gulfcoast Foot and Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
National Provider Identifier
1417492265
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3500 Issued in FL
Legal business name
GULFCOAST FOOT AND ANKLE SPECIALISTS
Practice address
9915 Tamiami TRL N Ste 1
Naples, FL 34108-1927
Phone
(239) 566-8800
Fax
(239) 566-8778
NPI assigned
Jan 4, 2017
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. Brooke Austin, DPMNPI 1003109604
Title
Owner
Phone
(239) 949-3399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3500 FL Primary

Addresses

Primary practice location

9915 Tamiami TRL N Ste 1
Naples, FL 34108-1927

Mailing address

PO Box 110759
Naples, FL 34108-0113
Phone (239) 566-8800

Other practice location 1

24231 Walden Center Dr Ste 120
Estero, FL 34134-5011
Phone (239) 949-3399

National Provider Directory

National Provider Directory

Locations

3501 Health Center Blvd
Ste 2150
Estero, FL 34135
Phone (239) 949-3399

9915 Tamiami Trl N
Ste 1
Naples, FL 34108
Phone (239) 566-8800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1417492265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110759",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080113",
            "telephone_number": "239-566-8800",
            "fax_number": "239-566-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 TAMIAMI TRL N STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081927",
            "telephone_number": "239-566-8800",
            "fax_number": "239-566-8778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24231 Walden Center Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "341345011",
            "country_code": "US",
            "telephone_number": "239-949-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULFCOAST FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-04-09",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-949-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.