Active NPI
Scott William Berneburg, DPM
- Podiatrist
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00325
- Practice address
- 410 Carriage Dr
Beckley, WV 25801-2806 - Phone
- (304) 253-9895
- Fax
- (304) 253-9896
- NPI assigned
- Dec 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00325 | WV | Primary |
Addresses
Primary practice location
410 Carriage Dr
Beckley, WV 25801-2806
Mailing address
315 Harper Park Dr
Beckley, WV 25801-2617
Phone (304) 253-9895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040701001686 | WV | Practitioner - Podiatry | 3173500675 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Systems Inc
Practice addresses (Care Compare)
252 Rural Acres Dr
Beckley, WV 25801-3503
315 Harper Park Dr
Beckley, WV 25801-2617
Phone (304) 228-6708
Hospital & facility affiliations
- Raleigh General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.8 of 100
- Quality
- 28.12
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 241 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00325 | WV | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Systems Inc | Current | Accepting new patients | |
| Scott W Berneburg DPM Inc | Podiatrist | Current | Accepting new patients |
| Community Health Systems, Inc. | Current | Accepting new patients | |
| Associates in OB GYN, Inc | Past | Accepting new patients |
Locations
410 Carriage Dr
Beckley, WV 25801
Phone (304) 250-0333
315 Harper Park Dr
Beckley, WV 25801
Phone (304) 228-6708
252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551
Interoperability endpoints
- scott.berneburg.1@14333.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Podiatrist
- Beckley, WV
- NPI 1215914395
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1588738538
WV
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1194510644
-
- Obstetrics & Gynecology Physician
- Cincinnati, OH
- NPI 1497716005
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1124005202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 HARPER PARK DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012617",
"telephone_number": "304-253-9895",
"fax_number": "304-253-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CARRIAGE DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012806",
"telephone_number": "304-253-9895",
"fax_number": "304-253-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNEBURG",
"first_name": "SCOTT",
"middle_name": "WILLIAM",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WV",
"license": "00325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.