Individual provider Active NPI

Scott William Berneburg, DPM

  • Podiatrist
  • Beckley, WV
National Provider Identifier
1124005202
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00325 Issued in WV
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

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100001000MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 6608785795, 36 clinicians

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 Hospital, Beckley, WV, CCN 510070

Merit-based Incentive Payment System (MIPS)

Final score
64.8 of 100Reported as group
Quality
28.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00325WVMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc CurrentSince Sep 1, 2025 Accepting new patients
Scott W Berneburg DPM Inc Podiatrist CurrentSince Feb 4, 2004 Accepting new patients
Community Health Systems, Inc. CurrentSince Sep 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.