Individual provider Active NPI

Brian Middleton, DPM

  • Podiatrist
  • Rome, GA
National Provider Identifier
1679550628
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000618 Issued in GA
Practice address
211 Redmond Rd NW
Rome, GA 30165-1537
Phone
(706) 802-1800
Fax
(706) 802-0781
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000618 GA Primary

Addresses

Primary practice location

211 Redmond Rd NW
Rome, GA 30165-1537

Mailing address

PO Box 2400
Rome, GA 30164-2400
Phone (706) 802-1800

Other identifiers 1

IdentifierTypeStateIssuer
000427567AMedicaidGA

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
I20050427000870 GA Practitioner - Podiatry 4284673492 Practice locations: Rome, GA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 Redmond Rd NW
Rome, GA 30165-1537
Phone (706) 802-1800

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 tissue30
Removal of skin lesions1-10
Removal of nail tissue283
Removal or shaving of skin growth114
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000618GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Surgical Center, P.C. CurrentSince Dec 19, 2007 Accepting new patients
Brian K. Middleton CurrentSince May 1, 1991 Accepting new patients

Locations

211 Redmond Rd NW
Rome, GA 30165
Phone (706) 802-1800

Organizations & group practices 2

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1679550628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301642400",
            "telephone_number": "706-802-1800",
            "fax_number": "706-802-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651537",
            "telephone_number": "706-802-1800",
            "fax_number": "706-802-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000427567A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.