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DPM HAIRSTON 01 FL LLC
NPI 1508988015
Podiatrist - Foot & Ankle Surgery in Brooksville, FL

Active since April 04, 2007
12900 CORTEZ BLVD STE 102, BROOKSVILLE, FL 34613(352) 683-6618(352) 683-5722 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dpm Hairston 01 Fl Llc NPPES

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

DPM HAIRSTON 01 FL LLC (NPI 1508988015) is a healthcare organization registered as a foot & ankle surgery in Brooksville, Florida and active in the NPI registry since April 2007. The organization lists Earlie Owens Hairston, Owner, as its authorized official.

NPPES Registry Identity

NPI1508988015
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameDPM HAIRSTON 01 FL LLC
Location Address12900 CORTEZ BLVD STE 102Brooksville, FL 34613-6897
Mailing Address12900 Cortez Blvd Ste 102Brooksville, FL 34613-6897 · (352) 683-6618 · Fax (352) 683-5722
Phone(352) 683-6618
Fax(352) 683-5722
Organization SubpartNo
Authorized OfficialEarlie Owens HairstonOwner · (352) 683-6618
Enumeration DateApril 4, 2007
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1508988015 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
License✔ Licensed in FL · K7562
12900 CORTEZ BLVD STE 102, Brooksville, FL 34613
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Other Identifiers 1

Medicaid340486200FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EARLIE OWENS HAIRSTON II D.P.M.
Podiatrist (Foot & Ankle Surgery)
12900 CORTEZ BLVD STE 102
BROOKSVILLE, FL 34613
Hernando County (352) 683-6618
ANTONIO CORDOVA
Nurse Practitioner (Adult Health)
12900 CORTEZ BLVD STE 102
BROOKSVILLE, FL 34613
Hernando County (352) 596-7660
PREMIUM ANKLE AND FOOT CARE
Clinic/Center (Podiatric)
12900 CORTEZ BLVD STE 102
BROOKSVILLE, FL 34613
Hernando County (352) 683-5722
MAURICIO BERMUDEZ MD
Family Medicine
12900 CORTEZ BLVD STE 102
BROOKSVILLE, FL 34613
Hernando County (352) 596-7660

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 Dpm Hairston 01 Fl LLC's NPI number?

The NPI number for Dpm Hairston 01 Fl LLC is 1508988015. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Dpm Hairston 01 Fl LLC located?

Dpm Hairston 01 Fl LLC is located at 12900 Cortez Blvd Ste 102, Brooksville, FL 34613. The listed phone number is (352) 683-6618.

What is Dpm Hairston 01 Fl LLC's specialty?

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

What insurance does Dpm Hairston 01 Fl LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Dpm Hairston 01 Fl LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dpm Hairston 01 Fl LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.