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PROGRESSIVE PODIATRY, PLLC
NPI 1073767190
Podiatrist - Foot & Ankle Surgery in Brooklyn, NY

Active since November 17, 2008
2352 RALPH AVE, BROOKLYN, NY 11234(718) 251-0200(718) 209-5697 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Progressive Podiatry, Pllc NPPES

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

PROGRESSIVE PODIATRY, PLLC (NPI 1073767190) is a healthcare organization registered as a foot & ankle surgery in Brooklyn, New York and active in the NPI registry since November 2008. The organization lists Evan Breth, Owner, as its authorized official.

NPPES Registry Identity

NPI1073767190
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePROGRESSIVE PODIATRY, PLLC
Location Address2352 RALPH AVEBrooklyn, NY 11234-5515
Mailing Address2352 Ralph AveBrooklyn, NY 11234-5515 · (718) 251-0200 · Fax (718) 209-5697
Phone(718) 251-0200
Fax(718) 209-5697
Organization SubpartNo
Authorized OfficialEvan BrethOwner · (718) 251-0200
Enumeration DateNovember 17, 2008
Last NPPES UpdateApril 10, 2012
✔ NPI 1073767190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
2352 RALPH AVE, Brooklyn, NY 11234
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Other Identifiers 3

Medicaid03425601NY
Medicare PINA100000732NY
Medicare NSC6166250002NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Evan Breth, DPM
Podiatry
NPI 1023097052
2352 RALPH AVE
Brooklyn, NY 11234
(718) 251-0200
✔ PECOS✔ Accepts MedicareSame 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 Progressive Podiatry, PLLC's NPI number?

The NPI number for Progressive Podiatry, PLLC is 1073767190. It was assigned to this organization in the NPPES registry on November 17, 2008.

Where is Progressive Podiatry, PLLC located?

Progressive Podiatry, PLLC is located at 2352 Ralph Ave, Brooklyn, NY 11234. The listed phone number is (718) 251-0200.

What is Progressive Podiatry, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Progressive Podiatry, PLLC enrolled in Medicare?

Yes. Progressive Podiatry, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Progressive Podiatry, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Progressive Podiatry, 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 Progressive Podiatry, PLLC was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.