Individual provider Active NPI

Diane Bray, DPM

  • Foot Surgery Podiatrist
  • Hershey, PA
National Provider Identifier
1225094642
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC006975 Issued in PA
Practice address
431 E Chocolate Ave
Ste 3
Hershey, PA 17033-1310
Phone
(607) 766-9097
Fax
(607) 797-5195
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X NY005929 NY
Foot Surgery Podiatrist 213ES0131X SC006975 PA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NY005929 NY

Addresses

Primary practice location

431 E Chocolate Ave
Ste 3
Hershey, PA 17033-1310

Mailing address

431 E Chocolate Ave
Ste 3
Hershey, PA 17033-1310
Phone (570) 348-1757

Other identifiers 1

IdentifierTypeStateIssuer
480032555OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190813000285 PA Practitioner - Podiatry 9739178633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Steps Podiatry Center PLLCGroup PAC ID 5092042176, 2 clinicians

Practice addresses (Care Compare)

1529 E Chocolate Ave
Hershey, PA 17033-1166
Phone (717) 533-5937

431 E Chocolate Ave
Suite 3
Hershey, PA 17033-1310

Hospital & facility affiliations

  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of nail tissue744
Removal or shaving of skin growth48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NY005929NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Steps Podiatry Center, PLLC Foot Surgery CurrentSince Jul 22, 2019 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

431 E Chocolate Ave
Ste 3
Hershey, PA 17033
Phone (607) 222-1348

1529 E Chocolate Ave
Hershey, PA 17033
Phone (607) 222-1348

Organizations & group practices 2

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 4

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1225094642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E CHOCOLATE AVE",
            "address_2": "STE 3",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331310",
            "telephone_number": "570-348-1757",
            "fax_number": "570-348-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E CHOCOLATE AVE",
            "address_2": "STE 3",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331310",
            "telephone_number": "607-766-9097",
            "fax_number": "607-797-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NY005929",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC006975",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "NY005929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032555",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.