Active NPI
Albert C Denault II, DPM
- Podiatrist
- Bradenton, FL
National Provider Identifier
1689656019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2367
- Practice address
- 311 Manatee Ave E
Bradenton, FL 34208 - Phone
- (941) 749-0626
- Fax
- (941) 749-0618
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2367 | FL | Primary |
Addresses
Primary practice location
311 Manatee Ave E
Bradenton, FL 34208
Mailing address
311 Manatee Ave E
Bradenton, FL 34208-1933
Phone (941) 749-0626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390163700 | Medicaid | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041008000830 | FL | Practitioner - Podiatry | 8921067455 | Practice locations: Bradenton, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
311 Manatee Ave E
Bradenton, FL 34208-1933
Phone (941) 749-0626
Hospital & facility affiliations
- Mederi Caretenders
- Trilogy Home Healthcare
- Manatee Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 144 |
| Removal of nail tissue | 1667 |
| Removal or shaving of skin growth | 720 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert C Denault II DPM | Podiatrist | Current | Accepting new patients |
Locations
311 Manatee Ave E
Bradenton, FL 34208
Phone (941) 748-4847
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 and National Provider Directory roles.
-
- Podiatrist
- Bradenton, FL
- NPI 1437337649
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tampa, FL
- NPI 1740509876
-
- Home Health Agency
- Bradenton, FL
- NPI 1083885198
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1760472799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1689656019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081933",
"telephone_number": "941-749-0626",
"fax_number": "941-749-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34208",
"telephone_number": "941-749-0626",
"fax_number": "941-749-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENAULT",
"first_name": "ALBERT",
"middle_name": "C",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390163700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.