Brondon Foot and Ankle LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36003616 Issued in OH

Legal business name

BRONDON FOOT AND ANKLE LLC

Practice address

77 W Elmwood Dr Ste 311
Dayton, OH 45459-4278

Phone

(937) 433-0444

Fax

(937) 433-0405

NPI assigned

Aug 16, 2012

Last updated

Feb 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael C BrondonNPI 1215249529

Title

DPM

Phone

(937) 433-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Michael Brondon

  • Podiatrist
  • Dayton, OH
  • NPI 1215249529
  Medicare reassignment Care Compare group NPD Authorized official
• Bridget Brondon, DPM

  • Podiatrist
  • Dayton, OH
  • NPI 1871871806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1548518871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR STE 311",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594278",
            "telephone_number": "937-433-0444",
            "fax_number": "937-433-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR STE 311",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594278",
            "telephone_number": "937-433-0444",
            "fax_number": "937-433-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONDON FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "BRONDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "937-433-0444"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079560",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Broekhuis, RN, BSN, CRNP
• Terra Lynn Broering, PA-C
• D. Richard Bromberg, PH.D.
• Diann M. Bromberg, LISW
• Tania Bronaugh
• Bridget Brondon, DPM
• Michael Brondon
• Nikeeta Bronston, CDCA
• Brookdale Senior Living Communities Inc (Sterling House Beavercreek)
• Brooke's Gift of Love Homecare LLC

• Podiatrist in Dayton, OH
• Providers in Dayton, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.