Organization Active NPI

Christopher M. Brodine DPM, PA

  • Podiatrist
  • Topeka, KS
National Provider Identifier
1972725422
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1200333 Issued in KS
Legal business name
CHRISTOPHER M. BRODINE DPM, PA
Practice address
2010 SW 10TH Street
Topeka, KS 66604-1406
Phone
(785) 354-7608
Fax
(785) 354-4202
NPI assigned
May 3, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Christopher M Brodine, DPMNPI 1265404131
Title
Owner
Phone
(785) 354-7608

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
Podiatrist 213E00000X 1200333 KS Primary

Addresses

Primary practice location

2010 SW 10TH Street
Topeka, KS 66604-1406

Mailing address

2010 SW 10TH Street
Topeka, KS 66604-1406
Phone (785) 354-7608

Other identifiers 2

IdentifierTypeStateIssuer
114101OtherKSBLUE CROSS BLUE SHIELD GROUP NUMBER
12-00333OtherKSSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930054197 KS DME Supplier - Physician - PodiatryDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 1850286501 Practice locations: Topeka, KS
O20171215002132 KS Part B Supplier - Clinic/Group Practice 1850286501 Receives reassigned benefits from 1 practitioner
Practice locations: Topeka, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advanced Foot Care2010 SW 10TH Ave, Topeka, KS 66604-1406(785) 354-7608 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory

Locations

823 SW Mulvane St
Lowr
Topeka, KS 66606
Phone (785) 368-0400

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972725422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SW 10TH STREET",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041406",
            "telephone_number": "785-354-7608",
            "fax_number": "785-354-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SW 10TH STREET",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041406",
            "telephone_number": "785-354-7608",
            "fax_number": "785-354-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER M. BRODINE DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BRODINE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-354-7608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "1200333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP NUMBER",
            "identifier": "114101",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12-00333",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.