Individual provider Active NPI

Berkeley H Nicholls, D.P.M

  • Foot Surgery Podiatrist
  • Nashville, TN
National Provider Identifier
1295755528
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
000359 Issued in TN
Practice address
1916 Patterson St Ste 600
Nashville, TN 37203-2159
Phone
(615) 321-3668
Fax
(615) 321-3618
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 000359 TN Primary

Addresses

Primary practice location

1916 Patterson St Ste 600
Nashville, TN 37203-2159

Mailing address

1916 Patterson St Ste 600
Nashville, TN 37203-2159
Phone (153) 213-6686

Other identifiers 1

IdentifierTypeStateIssuer
3351581MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050520000704 TN Practitioner - Podiatry 8426099326 Reassigns benefits to 1 organization
Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 500
Nashville, TN 37207-2523

3443 Dickerson Pike
Suite 740
Nashville, TN 37207-2527

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000359TNMDFoot Surgery Podiatrist
359TNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Nov 1, 2017 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Nov 1, 2017 Accepting new patients
Cutting Edge Foot and Ankle Clinic, PLLC CurrentSince Jul 8, 2025 Accepting new patients
Footcare USA, PLLC PastSince Aug 3, 2025 Accepting new patients

Locations

1001 Health Park Dr
Ste 330
Brentwood, TN 37027
Phone (615) 866-9639

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

2010 Church St
Ste 420
Nashville, TN 37203
Phone (615) 329-2141

3443 Dickerson Pike
Ste 740
Nashville, TN 37207
Phone (615) 866-9639

1916 Patterson St
Ste 600
Nashville, TN 37203
Phone (615) 321-3668

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

3443 Dickerson Pike
Ste 500
Nashville, TN 37207
Phone (615) 860-1772

2010 Church St
Ste 514
Nashville, TN 37203
Phone (615) 321-3668

2201 Murphy Ave
Ste 215
Nashville, TN 37203
Phone (615) 342-7820

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19521/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1295755528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032159",
            "telephone_number": "153-213-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032159",
            "telephone_number": "615-321-3668",
            "fax_number": "615-321-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "BERKELEY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "000359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3351581",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.