Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Elite Sports Podiatry, PA

Q: What is the NPI number for Elite Sports Podiatry, PA?

The NPI for Elite Sports Podiatry, PA is 1356743207, a Type 2 (organization) record in the CMS NPPES registry.

Foot Surgery Podiatrist in Clearwater, FL · enumerated 2014 · authorized official Brian Fullem, Medical Doctor/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356743207

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Registry record

Entity type Organization (Type 2)

Legal business name Elite Sports Podiatry, PA

Practice address 1700 N Mcmullen Booth Rd, Suite C-2, Clearwater, FL, 33759

Phone (727) 330-7646

Fax (727) 330-4645

Enumeration date Sep 23, 2014

Last updated in NPPES Jan 7, 2015

Taxonomy & classification

213ES0131X Foot Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License PO3445 (FL) Primary

Authorized official

Name Brian Fullem

Title Medical Doctor/Owner

Phone (203) 241-2582

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Elite Sports Podiatry, PA?

NPPES lists Brian Fullem (Medical Doctor/Owner) as the authorized official for this organization.

What is the NPI number for Elite Sports Podiatry, PA?

The NPI for Elite Sports Podiatry, PA is 1356743207, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-07.