Active NPI
Bradley R Hammersley
- Podiatrist
- Peru, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000906
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009854730 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 61.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.1
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.29 of 100
- Quality
- 42.35
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 3340 |
| Removal or shaving of skin growth | 286 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000906 | IN | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare LLC | Podiatrist | Current | Accepting new patients |
| Onsight, Inc. | Current | Accepting new patients | |
| Onsight, Inc. | Current | Accepting new patients | |
| Make Yourself, LLC | Current | Accepting new patients | |
| Onhealthcare, LLC | Current | Accepting new patients | |
| Onhealthcare LLC | Current | Accepting new patients | |
| Onsight, Inc. | Podiatrist | Current | Accepting new patients |
| Amarad Enterprises, Inc. | Podiatrist | Past | 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.
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- NPI 1417220369
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- Podiatrist
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- NPI 1821248568
-
- Foot Surgery Podiatrist
- Peru, IN
- NPI 1174020549
-
- Podiatrist
- Peru, IN
- NPI 1982791992
-
- Social Worker
- Indianapolis, IN
- NPI 1114681681
-
- Podiatrist
- Indianapolis, IN
- NPI 1952677353
-
- Audiologist
- East Lansing, MI
- NPI 1275861254
-
- Dentist
- East Lansing, MI
- NPI 1730339474
-
- Podiatrist
- Fort Wayne, IN
- NPI 1235182643
-
- Podiatrist
- Charleston, WV
- NPI 1386183473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.