Individual provider Active NPI

Mitchell Bernknopf, DPM

  • Podiatrist
  • Deerfield Beach, FL
National Provider Identifier
1184688913
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2707 Issued in FL
Practice address
1367 S Military TRL
Deerfield Beach, FL 33442-7634
Phone
(954) 427-3668
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2707 FL Primary

Addresses

Primary practice location

1367 S Military TRL
Deerfield Beach, FL 33442-7634

Mailing address

9805 Majorca PL
Boca Raton, FL 33434-3713
Phone (561) 866-8596

Other identifiers 2

IdentifierTypeStateIssuer
65588OtherFLBCBS
390471700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080820000047 FL Practitioner - Podiatry 9436224821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1824 W Hillsboro Blvd
Deerfield Beach, FL 33442-1402
Phone (954) 427-3668

9167 Fontainebleau Blvd
Suite 14
Miami, FL 33434-3713

9805 Majorca PL
Boca Raton, FL 33434-3713

Merit-based Incentive Payment System (MIPS)

Final score
88.55 of 100Reported as individual
Quality
57.4
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue230
Removal of skin lesions1-10
Removal of nail tissue2143
Removal or shaving of skin growth217
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Bernknopf DPM PA Podiatrist CurrentSince Mar 1, 1999 Accepting new patients

Locations

1824 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (305) 421-2900

1367 S Military Trl
Deerfield Beach, FL 33442
Phone (954) 427-3668

Organizations & group practices 1

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1184688913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 MAJORCA PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343713",
            "telephone_number": "561-866-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427634",
            "telephone_number": "954-427-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNKNOPF",
        "first_name": "MITCHELL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65588",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390471700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.