Individual provider Active NPI

Bridget Brondon, DPM

  • Podiatrist
  • Dayton, OH
National Provider Identifier
1871871806
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003625 Issued in OH
Practice address
77 W Elmwood Dr Ste 311
Dayton, OH 45459-4278
Phone
(937) 433-0444
Fax
(937) 433-0405
NPI assigned
Jul 25, 2011
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003625 OH Primary

Addresses

Primary practice location

77 W Elmwood Dr Ste 311
Dayton, OH 45459-4278

Mailing address

77 W Elmwood Dr Ste 311
Dayton, OH 45459-4278
Phone (937) 433-0444

Other identifiers 1

IdentifierTypeStateIssuer
0068320MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120905000216 OH Practitioner - Podiatry 4587811187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brondon Foot and Ankle LLCGroup PAC ID 0547417057, 2 clinicians

Practice addresses (Care Compare)

77 W Elmwood Dr
Suite 311
Dayton, OH 45459-4278
Phone (937) 433-0444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1739
Removal or shaving of skin growth891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003625OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brondon Foot and Ankle LLC Podiatrist CurrentSince May 14, 2014 Accepting new patients
Brondon Foot and Ankle LLC Podiatrist CurrentSince May 14, 2014 Accepting new patients

Locations

420 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 281-0200

77 W Elmwood Dr
Ste 311
Dayton, OH 45459
Phone (937) 433-0444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1871871806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR STE 311",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594278",
            "telephone_number": "937-433-0444",
            "fax_number": "937-433-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR STE 311",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594278",
            "telephone_number": "937-433-0444",
            "fax_number": "937-433-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONDON",
        "first_name": "BRIDGET",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.