Bradley P Gipson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DPM661 Issued in TN

Practice address

4307 Ball Camp Pike
Knoxville, TN 37921-3313

Phone

(865) 524-1234

Fax

(865) 524-1234

NPI assigned

Jul 28, 2006

Last updated

Jan 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apple Healthcare Group PCGroup PAC ID 6103907605, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.gipson@3616.securemail.prognocis.com

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.

• Apple Healthcare Group, PC

  • Physical Medicine & Rehabilitation Physician
  • Knoxville, TN
  • NPI 1396939799
  Medicare reassignment Care Compare group NPD
• Bradley Gipson

  • Podiatric Clinic/Center
  • Clinton, TN
  • NPI 1497052740
  NPD (past) Authorized official
• Apple Healthcare Group

  dba Apple Health & Wellness

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1497050033
  NPD
• Tennessee Podiatric Clinics Inc

  • Podiatrist
  • Knoxville, TN
  • NPI 1023030988
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1225042773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 BALL CAMP PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213313",
            "telephone_number": "865-524-1234",
            "fax_number": "865-524-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 BALL CAMP PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213313",
            "telephone_number": "865-524-1234",
            "fax_number": "865-524-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "BRADLEY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM661",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Bernard Gilsdorf, D.O., M.S.
• Elizabeth Ann Ginder, MSSW, BCBA
• Lauri Michelle Gingerich, CPNP
• Chloe-Grace Isabela Ginter
• Stephanie A Giordano, PT
• John Burton Gipson, RN
• Kristin Marie Gipson, PNP
• Sahil Girdhar, MBBS
• Girling Health Care, Inc. (Gentiva Health Services 2)
• Jeanne-Marie Gisclair, COUNSELOR

• Foot & Ankle Surgery Podiatrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.