Individual provider Active NPI

Brenn Isidro Garriel, DPM

  • Foot Surgery Podiatrist
  • Clearwater, FL
National Provider Identifier
1649413378
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO3353 Issued in FL
Practice address
13600 Icot Blvd BLDG a
Clearwater, FL 33760-3703
Phone
(727) 796-6900
Fax
(727) 669-8417
NPI assigned
Apr 10, 2009
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO3353 FL Primary

Addresses

Primary practice location

13600 Icot Blvd BLDG a
Clearwater, FL 33760-3703

Mailing address

13600 Icot Blvd BLDG a
Clearwater, FL 33760-3703
Phone (727) 796-6900

Other identifiers 1

IdentifierTypeStateIssuer
008331800MedicaidFL

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
I20100429000815 FL Practitioner - Podiatry 5698802205 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Foot and Ankle Care IncGroup PAC ID 6608889415, 4 clinicians
Medical Services Corp of FloridaGroup PAC ID 3971996778, 8 clinicians
Quality Podiatry Group of FL LTDGroup PAC ID 1456489236, 8 clinicians

Practice addresses (Care Compare)

4801 Swift Rd
Suite F
Sarasota, FL 34231-5139
Phone (941) 921-3000

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (239) 366-1948

7025 Beracasa Way
Suite 102G
Boca Raton, FL 33433-3428
Phone (786) 975-2090

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
68.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1197
Removal or shaving of skin growth700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO3353FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot and Ankle Care, Inc. CurrentSince Jul 20, 2024 Accepting new patients
Podiatry Company LLC CurrentSince Aug 1, 2021 Accepting new patients
Medical Services Corp of Florida CurrentSince Jan 23, 2023 Accepting new patients
Barbara Freeman PastSince Jun 21, 2020 Accepting new patients
Advanced Foot & Ankle Center Inc PastSince Jul 20, 2024 Accepting new patients

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

701 Victoria St
Brandon, FL 33510
Phone (813) 681-4220

13600 Icot Blvd
Bldg A
Clearwater, FL 33760
Phone (727) 796-6900

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

2310 N Airport Rd
Fort Myers, FL 33907
Phone (239) 437-9313

8495 Normandy Blvd
Jacksonville, FL 32221
Phone (570) 352-3063

6300 46th Ave N
Kenneth City, FL 33709
Phone (727) 544-1444

2020 W Lake Parker Dr
Lakeland, FL 33805
Phone (813) 473-2170

5245 N Socrum Loop Rd
Lakeland, FL 33809
Phone (404) 583-0841

800 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-1550

5762 SW 60th Ave
Ocala, FL 34474
Phone (352) 237-4544

1556 Maguire Rd
Ocoee, FL 34761
Phone (407) 877-2272

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

4801 Swift Rd
Ste F
Sarasota, FL 34231
Phone (941) 921-3000

5157 Park Club Dr
Sarasota, FL 34235
Phone (941) 377-0022

1000 24th St N
St Petersburg, FL 33713
Phone (727) 323-4711

1301 16th St N
St Petersburg, FL 33705
Phone (727) 898-5119

301 Mill Rd
Ste U7
Hewlett, NY 11557

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1649413378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13600 ICOT BLVD BLDG A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603703",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 ICOT BLVD BLDG A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603703",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIEL",
        "first_name": "BRENN",
        "middle_name": "ISIDRO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008331800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.