Individual provider Active NPI

Daniel S Brandwein, DPM

  • Podiatrist
  • Pompano Beach, FL
National Provider Identifier
1679561849
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P02443 Issued in FL
Practice address
159 S Pompano Pkwy
Pompano Beach, FL 33069-3003
Phone
(954) 984-7500
Fax
(954) 984-8884
NPI assigned
Oct 11, 2005
Last updated
May 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P02443 FL Primary

Addresses

Primary practice location

159 S Pompano Pkwy
Pompano Beach, FL 33069-3003

Mailing address

159 S Pompano Pkwy
Pompano Beach, FL 33069-3003
Phone (954) 984-7500

Other identifiers 3

IdentifierTypeStateIssuer
340568100MedicaidFL
480034654OtherFLRAILROAD MEDICARE
65751OtherFLBCBS OF FL

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
I20051214000674 FL Practitioner - Podiatry 5092736389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

159 S Pompano Pkwy
Pompano Beach, FL 33069-3003
Phone (954) 984-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of skin lesions1-10
Removal of nail tissue480
Removal or shaving of skin growth388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P02443FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Brandwein DPM P a Podiatrist CurrentSince Apr 19, 2002 Accepting new patients
Bacus Chiropractic, Inc. Past Accepting new patients
Palm-Aire Medical & Rehab Center, Inc. Past Accepting new patients
Innovative Foot and Ankle, P.a. Past Accepting new patients

Locations

159 S Pompano Pkwy
Pompano Beach, FL 33069
Phone (954) 984-7500

Organizations & group practices 4

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 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1679561849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 S POMPANO PKWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693003",
            "telephone_number": "954-984-7500",
            "fax_number": "954-984-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 S POMPANO PKWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693003",
            "telephone_number": "954-984-7500",
            "fax_number": "954-984-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDWEIN",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P02443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340568100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480034654",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "65751",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.