Bruce Kevin Berkheimer, DPM
Individual provider Active NPI Podiatrist · Searcy, AR
NPI 1003886748 · NPPES record last updated Oct 16, 2007
Key facts
- NPI
- 1003886748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 143 (AR)
- Practice address
- 1700 E Moore Ave
Searcy, AR 72143-4702 - Phone
- (501) 279-7716
- Fax
- (501) 279-7195
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1700 E Moore Ave
Searcy, AR 72143-4702
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 37 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100325000079 | AR | Practitioner - Podiatry | 8325174766 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143 | AR | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 143 | AR | Yes |
Addresses
Primary practice location
1700 E Moore Ave
Searcy, AR 72143-4702
Mailing address
1700 E Moore Ave
Searcy, AR 72143-4702
Phone (501) 279-7716
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.