Active NPI
Fred Birnbaum, DPM
- Podiatrist
- Bensalem, PA
National Provider Identifier
1053308478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001969L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0844935 | Medicaid | PA |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 27 |
| Removal of skin lesions | 38 |
| Removal of nail tissue | 1519 |
| Removal or shaving of skin growth | 247 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpmscollprpa LLC | Current | Accepting new patients | |
| Bensalem Podiatry Assoc. | Podiatrist | Current | Accepting new patients |
| Dpmscollprpa LLC | Podiatrist | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Bensalem, PA
- NPI 1467490169
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1063601623
-
- Foot & Ankle Surgery Podiatrist
- Easton, PA
- NPI 1811163546
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.