Individual provider Active NPI

Bernard G Coppolelli, DPM

  • Podiatrist
  • Coventry, RI
National Provider Identifier
1326055906
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM252 Issued in RI
Practice address
134 Sandy Bottom Rd
Coventry, RI 02816-5891
Phone
(401) 828-1811
Fax
(401) 823-0065
NPI assigned
Aug 3, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1937 MA
Podiatrist 213E00000X DPM252 RI Primary

Addresses

Primary practice location

134 Sandy Bottom Rd
Coventry, RI 02816-5891

Mailing address

134 Sandy Bottom Rd
Coventry, RI 02816-5864
Phone (401) 828-1811

Other identifiers 1

IdentifierTypeStateIssuer
9007049MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040809001222 RI Practitioner - Podiatry 4587636725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

134 Sandy Bottom Rd
Coventry, RI 02816-5891
Phone (401) 828-1811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as individual
Quality
55.45
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue61
Removal of skin lesions19
Removal of nail tissue2227
Removal or shaving of skin growth213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1937MAMDClinical Psychologist
DPM252RIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard G Coppolelli DPM, Inc Podiatrist CurrentSince Jan 1, 1992 Accepting new patients

Locations

134 Sandy Bottom Rd
Coventry, RI 02816
Phone (401) 821-0332

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

Hospital & facility affiliations 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1326055906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SANDY BOTTOM RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165864",
            "telephone_number": "401-828-1811",
            "fax_number": "401-823-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SANDY BOTTOM RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165891",
            "telephone_number": "401-828-1811",
            "fax_number": "401-823-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLELLI",
        "first_name": "BERNARD",
        "middle_name": "G",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1937",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPM252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007049",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, RI

Sources for this page

Verify at the official NPI Registry.