Bradley David Castellano, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000569 Issued in GA

Practice address

1515 River PL
Suite 140
Braselton, GA 30517-5602

Phone

(770) 648-5040

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Podiatry

Education

Temple University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Gardner Orthopedics LLCGroup PAC ID 2668793332, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bcastellano@go2078.srs-direct.com

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.

• Gardner Orthopedics, LLC

  • Specialist
  • Fort Myers, FL
  • NPI 1841682705

  FL

  Medicare reassignment Care Compare group NPD
• Gardner Orthopedics LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers, FL
  • NPI 1720462757
  Care Compare group NPD
• Village Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Covington, GA
  • NPI 1942036314

  Podiatrist

  NPD (past)
• Village Podiatry Group, L.L.C.

  • Podiatrist
  • Roswell, GA
  • NPI 1508846718
  NPD (past)
• Colonial Outpatient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Myers, FL
  • NPI 1760963292
  NPD (past)
• Foot & Ankle Group of Southwest Florida, PA

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1194725002

  Podiatrist

  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1922079151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RIVER PL",
            "address_2": "SUITE 140",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175602",
            "telephone_number": "770-648-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RIVER PL",
            "address_2": "SUITE 140",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175602",
            "telephone_number": "770-648-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "BRADLEY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116103838A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "65107",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruitian Cai
• Andrew J Cantrelle
• Caregap Home Health
• Kristina Carlson, DO
• Evelyn Carney
• David E Castillo Morffe, PA
• Whitney Castro
• Cathy Enochs LLC
• Cathy Sutton LCSW LLC
• Bianca Sade-Kallie Chambers, APRN, MSN, FNP-C

• All providers in Braselton, GA
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.