Individual provider Active NPI

Brian L Hamm, DPM

  • Podiatrist
  • Fort Dodge, IA
National Provider Identifier
1235101619
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00672 Issued in IA
Practice address
804 Kenyon Rd
Ste 310
Fort Dodge, IA 50501
Phone
(515) 302-8700
Fax
(515) 302-8698
NPI assigned
Feb 1, 2006
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00672 IA Primary

Addresses

Primary practice location

804 Kenyon Rd
Ste 310
Fort Dodge, IA 50501

Mailing address

2710 N. 5TH St.
Fort Dodge, IA 50501
Phone (309) 663-6461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20191028000103 IA Practitioner - Podiatry 8921173535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
90
Promoting interoperability
84
Improvement activities
40
Cost
71.97

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Quality
90.6
Promoting interoperability
91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00672IAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Foot and Ankle Center PC Podiatrist CurrentSince Nov 1, 2019 Accepting new patients
Therapeutic Spine and Pain Center, LTD. Past Accepting new patients

Locations

804 Kenyon Rd
Ste 310
Fort Dodge, IA 50501
Phone (515) 302-8700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18617/brand/1/csg/1/fhir/r4

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

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1235101619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 N. 5TH ST.",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "50501",
            "telephone_number": "309-663-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "STE 310",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "50501",
            "telephone_number": "515-302-8700",
            "fax_number": "515-302-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.