Organization Active NPI

Cortez Foot & Ankle Specialists, PA

  • Foot & Ankle Surgery Podiatrist
  • Cape Coral, FL
National Provider Identifier
1639927478
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CORTEZ FOOT & ANKLE SPECIALISTS, PA
Practice address
1722 Del Prado Blvd S Ste 12
Cape Coral, FL 33990-5523
Phone
(239) 573-9200
Fax
(855) 376-5040
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Richard N Berkun, DPMNPI 1588656169
Title
Owner
Phone
(941) 758-8818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1722 Del Prado Blvd S Ste 12
Cape Coral, FL 33990-5523

Mailing address

1800 Cortez Rd W
Bradenton, FL 34207-1335
Phone (941) 758-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241226001855 FL DME Supplier - Physician - Podiatry 6901931187 Practice locations: Cape Coral, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1722 Del Prado Blvd S
Ste 12
Cape Coral, FL 33990
Phone (239) 573-9200

7915 US Highway 301 N
Ste 104
Ellenton, FL 34222
Phone (941) 776-5199

8430 Cooper Creek Blvd
Ste 1
University Park, FL 34201
Phone (941) 360-9300

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1639927478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071335",
            "telephone_number": "941-758-8818",
            "fax_number": "941-755-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 DEL PRADO BLVD S STE 12",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905523",
            "telephone_number": "239-573-9200",
            "fax_number": "855-376-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTEZ FOOT & ANKLE SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "BERKUN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-758-8818",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.