Individual provider Active NPI

Bradley A Habuda, DPM

  • Podiatrist
  • N Ft Myers, FL
National Provider Identifier
1740280759
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3188 Issued in FL
Practice address
16251 N Cleveland Ave
Suite 7
N Ft Myers, FL 33903-2176
Phone
(239) 656-6565
Fax
(239) 656-3081
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3188 FL Primary

Addresses

Primary practice location

16251 N Cleveland Ave
Suite 7
N Ft Myers, FL 33903-2176

Mailing address

16251 N Cleveland Ave
Suite 7
N Ft Myers, FL 33903-2176
Phone (239) 656-6565

Other names 1

  • Bradley A Habuda Other name

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
I20051005000130 FL Practitioner - Podiatry 5799710190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irbf IncGroup PAC ID 2062447600, 2 clinicians

Practice addresses (Care Compare)

16251 N Cleveland Ave
Suite 7
N Fort Myers, FL 33903-2176
Phone (239) 656-6565

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue360
Removal of skin lesions59
Removal of nail tissue2884
Removal or shaving of skin growth381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3188FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Irbf, Inc. CurrentSince Aug 1, 2005 Accepting new patients
Irbf Inc Podiatrist PastSince Aug 1, 2005 Accepting new patients

Locations

16251 N Cleveland Ave
Ste 7
North Ft Myers, FL 33903
Phone (239) 656-6565

Organizations & group practices 2

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1740280759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16251 N CLEVELAND AVE",
            "address_2": "SUITE 7",
            "city": "N FT MYERS",
            "state": "FL",
            "postal_code": "339032176",
            "telephone_number": "239-656-6565",
            "fax_number": "239-656-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16251 N CLEVELAND AVE",
            "address_2": "SUITE 7",
            "city": "N FT MYERS",
            "state": "FL",
            "postal_code": "339032176",
            "telephone_number": "239-656-6565",
            "fax_number": "239-656-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABUDA",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADLEY",
            "last_name": "HABUDA",
            "middle_name": "A",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in N Ft Myers, FL

Sources for this page

Verify at the official NPI Registry.