SOUTHEAST PODIATRY PC
NPI 1467536763
Podiatrist - Primary Podiatric Medicine in Fairhope, AL
About Southeast Podiatry Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST PODIATRY PC (NPI 1467536763) is a healthcare organization registered as a primary podiatric medicine in Fairhope, Alabama and active in the NPI registry since October 2006. The organization lists Brent M Harwood, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Podiatry Pc 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 Southeast Podiatry PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Southeast Podiatry PC's NPI number?
The NPI number for Southeast Podiatry PC is 1467536763. It was assigned to this organization in the NPPES registry on October 24, 2006.
Where is Southeast Podiatry PC located?
Southeast Podiatry PC is located at 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532. The listed phone number is (251) 928-6768.
What is Southeast Podiatry PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.
Is Southeast Podiatry PC enrolled in Medicare?
Yes. Southeast Podiatry PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Podiatry PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Southeast Podiatry PC. 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 Southeast Podiatry PC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Southeast Podiatry Pc · NPI 1467536763
Primary Podiatric Medicine organization in Fairhope, Alabama. Organization record, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1467536763 (Entity type: Organization)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Podiatrist - Primary Podiatric Medicine · taxonomy 213EP1101X
- **Organization subpart:** No
- **Authorized official:** Brent Harwood, OWNER
## Practice location
- **Address:** 23937 US HWY 98 STE 1, Fairhope, AL 36532
- **Phone:** (251) 928-6768 · **Fax:** (251) 928-0783
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467536763) · Data from the CMS NPPES public registry.