Active NPI
Broward Foot and Ankle Specialist P a
- Foot & Ankle Surgery Podiatrist
- Pompano Beach, FL
National Provider Identifier
1790046290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- BROWARD FOOT AND ANKLE SPECIALIST P A
- Practice address
- 2205 Bay Dr
Pompano Beach, FL 33062-2912 - Phone
- (917) 582-4010
- Fax
- (718) 766-8606
- NPI assigned
- Jun 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Efrosini Fotopoulos, DPM
- Title
- President
- Phone
- (917) 582-4010
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
2205 Bay Dr
Pompano Beach, FL 33062-2912
Mailing address
2205 Bay Dr
Pompano Beach, FL 33062-2912
Phone (917) 582-4010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010144200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1600 N Federal Hwy
#A
Pompano Beach, FL 33062
Phone (754) 234-0984
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Pompano Beach, FL
- NPI 1255595047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570060800000",
"number": "1790046290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 BAY DR",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330622912",
"telephone_number": "917-582-4010",
"fax_number": "718-766-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 BAY DR",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330622912",
"telephone_number": "917-582-4010",
"fax_number": "718-766-8606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWARD FOOT AND ANKLE SPECIALIST P A",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-01",
"last_updated": "2019-10-03",
"status": "A",
"authorized_official_last_name": "FOTOPOULOS",
"authorized_official_first_name": "EFROSINI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-582-4010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010144200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
- Broward Community and Family Health Centers Inc
- Broward Community and Family Health Centers Inc
- Broward Dade Home Medical Equip. Inc.
- Broward Family Medical Group LLC
- Broward Finest Home Health Agency LLC
- Broward Home Health LLC (ComForcare Senior Services)
- Broward Medical Specialist Inc
- Broward Medical Specialist Inc
- Broward Nursing Care, Inc.
- Broward Outpatient Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.