Individual provider Active NPI

Fred Birnbaum, DPM

  • Podiatrist
  • Bensalem, PA
National Provider Identifier
1053308478
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001969L Issued in PA
Practice address
1950 Street Rd
Suite 101
Bensalem, PA 19020-3755
Phone
(215) 245-0873
Fax
(215) 245-4011
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001969L PA Primary
Foot Surgery Podiatrist 213ES0131X SC001969L PA

Addresses

Primary practice location

1950 Street Rd
Suite 101
Bensalem, PA 19020-3755

Mailing address

1950 Street Rd
Suite 101
Bensalem, PA 19020-3755
Phone (215) 245-0873

Other identifiers 1

IdentifierTypeStateIssuer
0844935MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000734 PA Practitioner - Podiatry 9234170952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1950 St Rd
Suite 101
Bensalem, PA 19020-3749
Phone (215) 245-0873

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions38
Removal of nail tissue1519
Removal or shaving of skin growth247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dpmscollprpa LLC CurrentSince Jun 1, 2022 Accepting new patients
Bensalem Podiatry Assoc. Podiatrist CurrentSince Jul 13, 1981 Accepting new patients
Dpmscollprpa LLC Podiatrist CurrentSince Jun 1, 2022 Accepting new patients

Locations

1950 Street Rd
Ste 101
Bensalem, PA 19020
Phone (215) 245-0873

2375 Woodward St
Ste 111
Philadelphia, PA 19115
Phone (215) 676-7080

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1053308478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 STREET RD",
            "address_2": "SUITE 101",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203755",
            "telephone_number": "215-245-0873",
            "fax_number": "215-245-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 STREET RD",
            "address_2": "SUITE 101",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203755",
            "telephone_number": "215-245-0873",
            "fax_number": "215-245-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNBAUM",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001969L",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC001969L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0844935",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.