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EAST BRAINERD PODIATRY CENTER PLLC
NPI 1013675578
Podiatrist in Chattanooga, TN

Active since December 02, 2021
7694 E BRAINERD RD, CHATTANOOGA, TN 37421(423) 316-0957 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2021, Dec 2, 2021 (2 updates tracked since 2021).

About East Brainerd Podiatry Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST BRAINERD PODIATRY CENTER PLLC (NPI 1013675578) is a healthcare organization registered as a podiatrist in Chattanooga, Tennessee and active in the NPI registry since December 2021. The organization lists Reva Faye Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013675578
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEAST BRAINERD PODIATRY CENTER PLLC
Location Address7694 E BRAINERD RDChattanooga, TN 37421-3162
Mailing Address7694 E Brainerd RdChattanooga, TN 37421-3162 · (423) 316-0957
Phone(423) 316-0957
Organization SubpartNo
Authorized OfficialReva Faye SmithOffice Manager · (423) 285-4970
Enumeration DateDecember 2, 2021
Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1013675578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
7694 E BRAINERD RD, Chattanooga, TN 37421
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Brainerd Podiatry Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20220125000106Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to East Brainerd Podiatry Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Burgan, DPM
Podiatry
NPI 1376501221
7694 E BRAINERD RD
Chattanooga, TN 37421
(423) 206-9742
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Brainerd Podiatry Center PLLC's NPI number?

The NPI number for East Brainerd Podiatry Center PLLC is 1013675578. It was assigned to this organization in the NPPES registry on December 2, 2021.

Where is East Brainerd Podiatry Center PLLC located?

East Brainerd Podiatry Center PLLC is located at 7694 E Brainerd Rd, Chattanooga, TN 37421. The listed phone number is (423) 316-0957.

What is East Brainerd Podiatry Center PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is East Brainerd Podiatry Center PLLC enrolled in Medicare?

Yes. East Brainerd Podiatry Center PLLC is registered in the Medicare PECOS enrollment system.

When is East Brainerd Podiatry Center PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through East Brainerd Podiatry Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to East Brainerd Podiatry Center PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Brainerd Podiatry Center PLLC was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.