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
-
Albert C Denault II, DPM
Laboratory certificates & supplier records
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930024741 | FL | DME Supplier - Physician - Podiatry |
4880714971 | Practice locations: Bradenton, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
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
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.