Individual provider Active NPI

Dustin Marshall Stroud, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
National Provider Identifier
1578977245
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PR390 Issued in FL
Practice address
1611 53Rd Ave W
Bradenton, FL 34207-2868
Phone
(941) 753-9599
Fax
(941) 755-0261
NPI assigned
Jun 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PR390 FL Primary

Addresses

Primary practice location

1611 53Rd Ave W
Bradenton, FL 34207-2868

Mailing address

1611 53Rd Ave W
Bradenton, FL 34207-2868
Phone (941) 753-9599

Other practice location 1

1961 Floyd St Ste D
Sarasota, FL 34239-2931
Phone (941) 366-2627

Other identifiers 1

IdentifierTypeStateIssuer
14002862OtherFLCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170622001581 FL Practitioner - Podiatry 6800164443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR390FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Podiatry Center, Inc. Foot & Ankle Surgery CurrentSince Aug 1, 2017 Accepting new patients

Locations

1611 53rd Ave W
Bradenton, FL 34207
Phone (941) 753-9599

1961 Floyd St
Ste D
Sarasota, FL 34239
Phone (941) 361-2627

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578977245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 53RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342072868",
            "telephone_number": "941-753-9599",
            "fax_number": "941-755-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 53RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342072868",
            "telephone_number": "941-753-9599",
            "fax_number": "941-755-0261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1961 Floyd St Ste D",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392931",
            "country_code": "US",
            "telephone_number": "941-366-2627",
            "fax_number": "941-951-2356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUD",
        "first_name": "DUSTIN",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PR390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14002862",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.