Organization Active NPI

Pensacola Podiatry, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Pensacola, FL
National Provider Identifier
1790960508
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PENSACOLA PODIATRY, P.A.
Practice address
6160 N Davis Hwy
Ste 1
Pensacola, FL 32504-6967
Phone
(850) 476-2805
Fax
(850) 476-3010
NPI assigned
Dec 31, 2007
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Valerie Burbank
Title
Office Manager
Phone
(850) 476-2805

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

6160 N Davis Hwy
Ste 1
Pensacola, FL 32504-6967

Mailing address

6160 N Davis Hwy Ste 1
Pensacola, FL 32504-6967
Phone (850) 476-2805

Other practice location 1

5976 Berryhill Rd Ste A
Milton, FL 32570-4009
Phone (850) 806-2153

Other practice location 2

825 E Burgess Rd
Pensacola, FL 32504-7001
Phone (850) 806-2153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930065896 FL DME Supplier - Physician - Podiatry 5698896298 Practice locations: Pensacola, FL
O20120605000092 FL Part B Supplier - Clinic/Group Practice 5698896298 Receives reassigned benefits from 4 practitioners
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

5211 Highway 90
Ste 2
Milton, FL 32571

5211 Highway 90
Ste B
Milton, FL 32571

6160 N Davis Hwy
Ste 1
Pensacola, FL 32504
Phone (850) 476-2805

Practitioners & affiliated clinicians

Practitioners 4

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": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1790960508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N DAVIS HWY STE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046967",
            "telephone_number": "850-476-2805",
            "fax_number": "850-476-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N DAVIS HWY",
            "address_2": "STE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046967",
            "telephone_number": "850-476-2805",
            "fax_number": "850-476-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5976 Berryhill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325704009",
            "country_code": "US",
            "telephone_number": "850-806-2153",
            "fax_number": "850-332-1941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 E Burgess Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325047001",
            "country_code": "US",
            "telephone_number": "850-806-2153",
            "fax_number": "850-332-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENSACOLA PODIATRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "BURBANK",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-476-2805"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.