Individual provider Active NPI

Bradley R Hammersley

  • Podiatrist
  • Peru, IN
National Provider Identifier
1295780872
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000906 Issued in IN
Practice address
632 W Main St
Peru, IN 46970-1747
Phone
(765) 473-4220
Fax
(765) 473-4223
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000906 IN Primary
Durable Medical Equipment & Medical Supplies 332B00000X 07000906 IN

Addresses

Primary practice location

632 W Main St
Peru, IN 46970-1747

Mailing address

632 W Main St
Peru, IN 46970-1747
Phone (765) 473-4220

Other identifiers 1

IdentifierTypeStateIssuer
2009854730MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050401000255 IN Practitioner - Podiatry 2567419542 Reassigns benefits to 1 organization
I20180417000642 MI Practitioner - Podiatry 2567419542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onhealthcare LLCGroup PAC ID 8527221480, 29 clinicians

Practice addresses (Care Compare)

8425 Woodfield Crossing Blvd
Suite 100
Indianapolis, IN 46240-7316
Phone (248) 528-2116

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as group
Quality
61.63
Promoting interoperability
100
Improvement activities
40
Cost
81.1

Merit-based Incentive Payment System (MIPS)

Final score
78.29 of 100Reported as individual
Quality
42.35
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3340
Removal or shaving of skin growth286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000906INMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Onhealthcare LLC Podiatrist CurrentSince Dec 6, 2017 Accepting new patients
Onsight, Inc. CurrentSince Mar 16, 2018 Accepting new patients
Onsight, Inc. CurrentSince Mar 16, 2018 Accepting new patients
Make Yourself, LLC Current Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Onhealthcare LLC CurrentSince Dec 6, 2017 Accepting new patients
Onsight, Inc. Podiatrist Current Accepting new patients
Amarad Enterprises, Inc. Podiatrist PastSince Aug 18, 2005 Accepting new patients
Richard M. Hilker, DPM, P.C. Podiatrist Past Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Podiatrist Past Accepting new patients

Locations

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

Organizations & group practices 10

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1295780872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W MAIN ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701747",
            "telephone_number": "765-473-4220",
            "fax_number": "765-473-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W MAIN ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701747",
            "telephone_number": "765-473-4220",
            "fax_number": "765-473-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERSLEY",
        "first_name": "BRADLEY",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000906",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "07000906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009854730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.