NPIMap

Organization Active NPI

Advanced Podiatry PA

  • Foot Surgery Podiatrist
  • Tampa, FL
National Provider Identifier
1982756706
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
ADVANCED PODIATRY PA
Practice address
2919 W Swann Ave Ste 203
Tampa, FL 33609-4050
Phone
(813) 875-0555
Fax
(866) 313-3106
NPI assigned
Jan 18, 2007
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Dr. Todd James Brennan, DPMNPI 1316258627
Title
President
Phone
(813) 971-4678

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 Surgery Podiatrist 213ES0131X NU Primary

Addresses

Primary practice location

2919 W Swann Ave Ste 203
Tampa, FL 33609-4050

Mailing address

2919 W Swann Ave Ste 203
Tampa, FL 33609-4050
Phone (813) 875-0555

Other identifiers 3

IdentifierTypeStateIssuer
004C8OtherFLBCBS GROUP NUMBER
008390800OtherFLMEDICAID GROUP NUMBER
M2475OtherFLMEDICARE GROUP PTAN

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051014000326 FL Part B Supplier - Clinic/Group Practice 2668497058 Receives reassigned benefits from 7 practitioners
Practice locations: Brooksville, FL; Riverview, FL; Tampa, FL; Wesley Chapel, FL
O20100930021922 FL DME Supplier - Physician - Podiatry 2668497058 Practice locations: Wesley Chapel, FL

National Provider Directory

National Provider Directory
Tax ID family
Advanced Podiatry PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10865 Boyette Rd
Riverview, FL 33569
Phone (813) 540-1160

13801 Bruce B Downs Blvd
Ste 205
Tampa, FL 33613
Phone (813) 971-4678

2255 Ashley Oaks Cir
Wesley Chapel, FL 33544

2255 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 388-9801

27658 Cashford Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 388-9801

Practitioners & affiliated clinicians

Practitioners 9

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1982756706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094050",
            "telephone_number": "813-875-0555",
            "fax_number": "866-313-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094050",
            "telephone_number": "813-875-0555",
            "fax_number": "866-313-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-12-13",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-971-4678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "004C8",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "008390800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "M2475",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.