Individual provider Active NPI

Brett Fried, DPM

  • Foot & Ankle Surgery Podiatrist
  • Royal Palm Beach, FL
National Provider Identifier
1932167335
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3252 Issued in FL
Practice address
11412 Okeechobee Blvd
Royal Palm Beach, FL 33411-8722
Phone
(561) 793-6170
Fax
(561) 795-3683
NPI assigned
May 3, 2006
Last updated
Dec 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3252 FL Primary

Addresses

Primary practice location

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411-8722

Mailing address

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411-8722
Phone (561) 793-6170

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080528000696 FL Practitioner - Podiatry 3274577689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Foot and Ankle CenterGroup PAC ID 7315927316, 7 clinicians

Practice addresses (Care Compare)

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411-8722
Phone (561) 793-6170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue204
Removal of skin lesions1-10
Removal of nail tissue696
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Foot & Ankle Center Foot & Ankle Surgery CurrentSince Nov 1, 2007 Accepting new patients
South Florida Foot & Ankle Center CurrentSince Nov 1, 2007 Accepting new patients
Foot and Leg Clinic, PA Past Accepting new patients

Locations

1100 S Main St
Belle Glade, FL 33430
Phone (561) 996-4242

3618 Lantana Rd
Ste 102
Lake Worth, FL 33462
Phone (561) 967-4999

3375 Burns Rd
Ste 107
Palm Beach Gardens, FL 33410
Phone (561) 626-7929

1420 SW Saint Lucie West Blvd
Ste 103
Port St Lucie, FL 34986
Phone (561) 296-1188

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411
Phone (561) 295-8009

Interoperability endpoints

  • Direct secure messaging: bfried19822@jupitermedicalcenter.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1932167335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118722",
            "telephone_number": "561-793-6170",
            "fax_number": "561-795-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118722",
            "telephone_number": "561-793-6170",
            "fax_number": "561-795-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "BRETT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.