Individual provider Active NPI

Brad L. Hayman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Prescott, AZ
National Provider Identifier
1295746055
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
216 Issued in AZ
Practice address
3103 Clearwater Dr Ste B
Prescott, AZ 86305-7165
Phone
(928) 776-9428
Fax
(928) 776-9214
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 216 AZ Primary

Addresses

Primary practice location

3103 Clearwater Dr Ste B
Prescott, AZ 86305-7165

Mailing address

3103 Clearwater Dr Ste B
Prescott, AZ 86305-7165
Phone (928) 776-9428

Other identifiers 1

IdentifierTypeStateIssuer
102434MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050928000971 AZ Practitioner - Podiatry 8123925955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hayman Multicare LLCGroup PAC ID 4880591619, 3 clinicians

Practice addresses (Care Compare)

3103 Clearwater Dr
Suite B
Prescott, AZ 86305-7165
Phone (928) 776-9428

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as individual
Quality
81.41
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue229
Removal of skin lesions1-10
Removal of nail tissue1358
Removal or shaving of skin growth310
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
216AZMDFoot & Ankle Surgery Podiatrist
0216AZMDAthletic Trainer

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.

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1295746055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 CLEARWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057165",
            "telephone_number": "928-776-9428",
            "fax_number": "928-776-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 CLEARWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057165",
            "telephone_number": "928-776-9428",
            "fax_number": "928-776-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMAN",
        "first_name": "BRAD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102434",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.