Active NPI
Albert C Denault II DPM
Doing business as Family Footcare LLC
- Podiatrist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2367
- Legal business name
- ALBERT C DENAULT II DPM
- Doing business as
- Family Footcare LLC
- Practice address
- 311 Manatee Ave E
Bradenton, FL 34208-1933 - Phone
- (941) 749-0626
- Fax
- (941) 749-0618
- NPI assigned
- Feb 11, 2008
- Last updated
- Sep 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert C. Denault II, DPM
- Title
- Owner
- Phone
- (941) 749-0626
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2367 | FL | Primary |
Addresses
Primary practice location
311 Manatee Ave E
Bradenton, FL 34208-1933
Mailing address
311 Manatee Ave E
Bradenton, FL 34208-1933
Phone (941) 749-0626
Other names 1
- Family Footcare LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930024741 | FL | DME Supplier - Physician - Podiatry | 4880714971 | Practice locations: Bradenton, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Family Footcare | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Podiatrist
- Bradenton, FL
- NPI 1689656019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221696000000",
"number": "1437337649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081933",
"telephone_number": "941-749-0626",
"fax_number": "941-749-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081933",
"telephone_number": "941-749-0626",
"fax_number": "941-749-0618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERT C DENAULT II DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2008-09-18",
"status": "A",
"authorized_official_last_name": "DENAULT",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-749-0626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Footcare LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.