Individual provider Active NPI

Albert C Denault II, DPM

  • Podiatrist
  • Bradenton, FL
National Provider Identifier
1689656019
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2367 Issued in FL
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

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
390163700MedicaidFL

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
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 Home health agency, Bradenton, FL, CCN 108029
  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue144
Removal of nail tissue1667
Removal or shaving of skin growth720
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albert C Denault II DPM Podiatrist CurrentSince Mar 8, 2004 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.