Albert C Denault II DPM

Organization Active NPI Podiatrist · Bradenton, FL

NPI 1437337649 · NPPES record last updated Sep 18, 2008

Key facts

NPI
1437337649
Entity type
Organization (NPI type 2)
Primary specialty
Podiatrist 213E00000X
License
PO2367 (FL)
Legal business name
ALBERT C DENAULT II DPM
Practice address
311 Manatee Ave E
Bradenton, FL 34208-1933
Phone
(941) 749-0626
Fax
(941) 749-0618
NPI assigned
Feb 11, 2008
Organization subpart
No

Authorized official

Name
Dr. Albert C. Denault II, DPM
Title
Owner
Phone
(941) 749-0626

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Footcare
311 Manatee Ave E, Bradenton, FL 34208-1933 · (941) 749-0626
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignment
Participating since Jan 1, 1998

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930024741 FL DME Supplier - Physician - Podiatry
DME Supplier - Medical Supply Company With Orthotic Personnel
DME Supplier - Medical Supply Company With Prosthetic Personnel
DME Supplier - Medical Supply Company
4880714971 Practice locations: Bradenton, FL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213E00000X PO2367 FL Yes

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

  • Family Footcare LLC Doing business as

Other providers in Bradenton, FL

All providers in Bradenton, FL · Podiatrist in Florida

Sources for this page

Verify at the official NPI Registry.