Benedict A Profera, DPM, MPH

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

0103000566 Issued in VA

Practice address

1589 Innsbrooke Dr
Salem, VA 24153-1785

Phone

(540) 389-6267

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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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  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356497622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 INNSBROOKE DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241531785",
            "telephone_number": "540-389-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 INNSBROOKE DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241531785",
            "telephone_number": "540-389-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFERA",
        "first_name": "BENEDICT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103000566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010265851",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Price, NP
• Joshua Todd Prickett, DO
• John W Priddy, M.D.
• Primary Care Associates PC
• Denver Louis Pritchard Jr., LCSW
• Richard Prokopchak, MD
• Katie Martin Pruitt, PMHNP
• Pulaski VA Clinic
• Vennela Pulikanti, DO
• Shermir Pulliam

• Primary Podiatric Medicine Podiatrist in Salem, VA
• Providers in Salem, VA by specialty
• Primary Podiatric Medicine Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.