Individual provider Active NPI

Thomas Anthony Brosky II, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oakwood, GA
National Provider Identifier
1598860942
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000893 Issued in GA
Practice address
4220 Mundy Mill PL Ste a
Oakwood, GA 30566-2573
Phone
(770) 536-7008
Fax
(770) 536-1550
NPI assigned
Sep 13, 2006
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000893 GA
Foot & Ankle Surgery Podiatrist 213ES0103X POD000893 GA Primary
Foot Surgery Podiatrist 213ES0131X POD000893 GA

Addresses

Primary practice location

4220 Mundy Mill PL Ste a
Oakwood, GA 30566-2573

Mailing address

4220 Mundy Mill PL Ste a
Oakwood, GA 30566-2573
Phone (770) 536-7008

Other identifiers 1

IdentifierTypeStateIssuer
00893439IMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20080822000356 GA Practitioner - Podiatry 4981781796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4220 Mundy Mill PL
Suite 1a
Oakwood, GA 30566-2573
Phone (770) 536-7008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions14
Removal of nail tissue225
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000893GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Clinic of Oakwood, Inc. Podiatrist CurrentSince Dec 10, 2002 Accepting new patients

Locations

4220 Mundy Mill Pl
Ste 1A
Oakwood, GA 30566
Phone (770) 536-7008

4220 Mundy Mill Pl
Ste A
Oakwood, GA 30566
Phone (770) 536-7008

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: thomas.brosky@faacoo-ga.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1598860942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 MUNDY MILL PL STE A",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662573",
            "telephone_number": "770-536-7008",
            "fax_number": "770-536-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 MUNDY MILL PL STE A",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662573",
            "telephone_number": "770-536-7008",
            "fax_number": "770-536-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSKY",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000893",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000893",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "POD000893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00893439I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakwood, GA

Sources for this page

Verify at the official NPI Registry.