Organization Active NPI

The Podiatry Clinic, PA

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
National Provider Identifier
1871482984
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
THE PODIATRY CLINIC, PA
Practice address
300 Riverside Dr E Ste 2000
Bradenton, FL 34208-1023
Phone
(941) 666-5088
Fax
(239) 209-9686
NPI assigned
Jul 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Dr. Sean Dien Shanahan, DPMNPI 1487642617
Title
Podiatrist/Owner/President
Phone
(941) 666-5088

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

300 Riverside Dr E Ste 2000
Bradenton, FL 34208-1023

Mailing address

300 Riverside Dr E Ste 2000
Bradenton, FL 34208-1023
Phone (941) 666-5088

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250812002596 FL Part B Supplier - Clinic/Group Practice 0840798567 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL
O20251021000557 FL DME Supplier - Physician - Podiatry 0840798567 Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1871482984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E STE 2000",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081023",
            "telephone_number": "941-666-5088",
            "fax_number": "239-230-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E STE 2000",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081023",
            "telephone_number": "941-666-5088",
            "fax_number": "239-209-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PODIATRY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "DIEN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "941-666-5088",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.