Organization Active NPI

The Barefoot Physician, PLLC

  • Clinic/Center
  • Hollywood, FL
National Provider Identifier
1710351648
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AP3669 Issued in FL
Legal business name
THE BAREFOOT PHYSICIAN, PLLC
Practice address
1926 Hollywood Blvd
202
Hollywood, FL 33020-4532
Phone
(561) 510-6967
NPI assigned
Nov 16, 2015
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Peter C Steele, DOM, AP, MSOM, LACNPI 1578937405
Title
Owner
Phone
(727) 543-7039

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
Clinic/Center 261Q00000X AP3669 FL Primary

Addresses

Primary practice location

1926 Hollywood Blvd
202
Hollywood, FL 33020-4532

Mailing address

1926 Hollywood Blvd
202
Hollywood, FL 33020-4532
Phone (561) 510-6967

National Provider Directory

National Provider Directory

Locations

1926 Hollywood Blvd
Ste 202
Hollywood, FL 33020
Phone (561) 510-6967

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": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1710351648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 HOLLYWOOD BLVD",
            "address_2": "202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204532",
            "telephone_number": "561-510-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 HOLLYWOOD BLVD",
            "address_2": "202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204532",
            "telephone_number": "561-510-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAREFOOT PHYSICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-543-7039",
        "authorized_official_credential": "DOM, AP, MSOM, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "AP3669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.