Individual provider Active NPI

Bradley James Keefer, DPM

  • Foot Surgery Podiatrist
  • Little River, SC
National Provider Identifier
1184672974
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
546 Issued in SC
Practice address
3700 Sawtell Rd
Little River, SC 29566-7873
Phone
(843) 390-1333
Fax
(843) 390-1633
NPI assigned
May 4, 2006
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 546 SC Primary

Addresses

Primary practice location

3700 Sawtell Rd
Little River, SC 29566-7873

Mailing address

3700 Sawtell Rd
Little River, SC 29566-7873
Phone (843) 390-1333

Other identifiers 2

IdentifierTypeStateIssuer
PD5462MedicaidSC
780806UMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20111005000269 SC Practitioner - Podiatry 8527270255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Podiatry Associates PAGroup PAC ID 3375686108, 6 clinicians

Practice addresses (Care Compare)

8141 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 449-8079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.1 of 100Reported as individual
Quality
71.46
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions13
Removal of nail tissue1487
Removal or shaving of skin growth487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Podiatry Associates PA Foot Surgery CurrentSince Jan 1, 2016 Accepting new patients
Coastal Podiatry Associates PA Foot Surgery CurrentSince Jan 1, 2016 Accepting new patients
Seacoast Podiatry Associates PA Foot Surgery Past Accepting new patients

Locations

8020 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 234-9100

8141 Rourk St
Myrtle Beach, SC 29572
Phone (803) 449-8079

1120 Glenns Bay Rd
Ste 103
Surfside Beach, SC 29575
Phone (843) 449-8079

Interoperability endpoints

  • Direct secure messaging: bkeefer@seacoastpod.mdlogic.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1184672974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SAWTELL RD",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667873",
            "telephone_number": "843-390-1333",
            "fax_number": "843-390-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SAWTELL RD",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667873",
            "telephone_number": "843-390-1333",
            "fax_number": "843-390-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5462",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780806U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.