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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PREMIER FOOT AND ANKLE SPECIALISTS PA
NPI 1710995733
Podiatrist - Primary Podiatric Medicine in Venice, FL

Active since August 04, 2006
4120 WOODMERE PARK BLVD STE 5, VENICE, FL 34293(941) 488-0222(941) 480-1668 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Apr 5, 2021, Jan 16, 2021 and 1 more (4 updates tracked since 2020).

About Premier Foot And Ankle Specialists Pa NPPES

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

PREMIER FOOT AND ANKLE SPECIALISTS PA (NPI 1710995733), doing business as Premier Foot And Ankle Specialists, is a healthcare organization registered as a primary podiatric medicine in Venice, Florida and active in the NPI registry since August 2006. The organization lists Brielle Lynn Roggow, Owner, as its authorized official.

NPPES Registry Identity

NPI1710995733
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NamePREMIER FOOT AND ANKLE SPECIALISTS PA
Location Address4120 WOODMERE PARK BLVD STE 5Venice, FL 34293-5373
Mailing Address4120 Woodmere Park Blvd Ste 5Venice, FL 34293-5373 · (941) 488-0222 · Fax (941) 480-1668
Phone(941) 488-0222
Fax(941) 480-1668
Organization SubpartNo
Authorized OfficialBrielle Lynn RoggowOwner · (941) 488-0222
Enumeration DateAugust 4, 2006
Last NPPES UpdateSeptember 16, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1710995733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in FL · PO-1580
4120 WOODMERE PARK BLVD STE 5, Venice, FL 34293
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Other Names 1

Doing Business AsPremier Foot And Ankle Specialists

Other Identifiers 2

Medicaid041248100FL
Other74640FL · Group Bcbs

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 Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Foot And Ankle Specialists Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Premier Foot And Ankle Specialists PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jeremy Bonjorno, D.P.M.
Podiatry
NPI 1053795237
4120 WOODMERE PARK BLVD STE 5
Venice, FL 34293
(941) 488-0222
✔ PECOS✔ Accepts MedicareSame address
Brielle Roggow, D.P.M.
Podiatry
NPI 1033559612
4120 WOODMERE PARK BLVD STE 5
Venice, FL 34293
(941) 488-0222
✔ 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 Premier Foot And Ankle Specialists PA's NPI number?

The NPI number for Premier Foot And Ankle Specialists PA is 1710995733. It was assigned to this organization in the NPPES registry on August 4, 2006. The provider is doing business as Premier Foot and Ankle Specialists.

Where is Premier Foot And Ankle Specialists PA located?

Premier Foot And Ankle Specialists PA is located at 4120 Woodmere Park Blvd Ste 5, Venice, FL 34293. The listed phone number is (941) 488-0222.

What is Premier Foot And Ankle Specialists PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Premier Foot And Ankle Specialists PA enrolled in Medicare?

Yes. Premier Foot And Ankle Specialists PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Foot And Ankle Specialists PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Premier Foot And Ankle Specialists PA. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Foot And Ankle Specialists PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Premier Foot And Ankle Specialists PA 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 Premier Foot And Ankle Specialists PA was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.