Organization Active NPI

Bradley Todd

  • Podiatrist
  • Fort Lauderdale, FL
National Provider Identifier
1710162169
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3045 Issued in FL
Legal business name
BRADLEY TODD
Practice address
3367 Galt Ocean Drive
Fort Lauderdale, FL 33308-7002
Phone
(954) 566-2580
Fax
(954) 566-8929
NPI assigned
Jan 4, 2008
Organization subpart
Yes
Parent organization
DR BRADLEY TODDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Bradley P Todd, DPMNPI 1285631382
Title
Owner
Phone
(954) 566-2580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO3045 FL Primary

Addresses

Primary practice location

3367 Galt Ocean Drive
Fort Lauderdale, FL 33308-7002

Mailing address

3367 Galt Ocean Drive
Fort Lauderdale, FL 33308-7002
Phone (954) 566-2580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930030389 FL DME Supplier - Physician - Podiatry 7315154069 Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory
Part of
Bradley P Todd DPM

Locations

3367 Galt Ocean Dr
Ft Lauderdale, FL 33308
Phone (954) 566-2580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1710162169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 GALT OCEAN DRIVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087002",
            "telephone_number": "954-566-2580",
            "fax_number": "954-566-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 GALT OCEAN DRIVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087002",
            "telephone_number": "954-566-2580",
            "fax_number": "954-566-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY TODD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR BRADLEY TODD",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-566-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.