Bradly Scott Shollenberger, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002902L Issued in PA

Practice address

4885 Demoss Rd
Suite 103
Reading, PA 19606-9023

Phone

(610) 779-4020

Fax

(610) 776-7044

NPI assigned

Nov 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Berks Foot Specialists PCGroup PAC ID 6103806302, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score

85.74 of 100Reported as individual

Quality

73.3

Promoting interoperability

92

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Berks Foot Specialists, PC

  • Foot & Ankle Surgery Podiatrist
  • Reading, PA
  • NPI 1548466261
  Medicare reassignment Care Compare group NPD Authorized official
• Tri-County Foot

  • Foot & Ankle Surgery Podiatrist
  • Pottstown, PA
  • NPI 1972516243
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Reading Hospital

  • Cardiovascular Disease Physician
  • West Reading, PA
  • NPI 1407570880

  Hospital

  Care Compare affiliation
• Reading Hospital

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1467007112
  Care Compare affiliation
• Reading Hospital

  • Gynecologic Oncology Physician
  • West Reading, PA
  • NPI 1528677192

  Hospital

  Care Compare affiliation
• Reading Hospital

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1669530069
  Care Compare affiliation
• Reading Hospital

  • Hematology & Oncology Physician
  • West Reading, PA
  • NPI 1699384016

  Hospital

  Care Compare affiliation
• Reading Hospital

  • Mobile Mammography Clinic/Center
  • West Reading, PA
  • NPI 1982349650

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1366433591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 DEMOSS RD",
            "address_2": "SUITE 103",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069023",
            "telephone_number": "610-779-4020",
            "fax_number": "610-776-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 DEMOSS RD",
            "address_2": "SUITE 103",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069023",
            "telephone_number": "610-779-4020",
            "fax_number": "610-776-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLLENBERGER",
        "first_name": "BRADLY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002902L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002902L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "31854",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "688055",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "7990970",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE",
            "identifier": "0522660000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01328801",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PLUS",
            "identifier": "116509",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPC",
            "identifier": "688055",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE",
            "identifier": "0020421000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011820330007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Renee Shinn, LSW
• Dylan Shipe
• Michael R Shires, M.A.
• Sue Shobe, RN
• Amanda Elizabeth Shollenberger, CRNP
• Shooting Star Home Care LLC
• Brianna Shotwell, DC
• Muriel E Shotwell, D. C.
• Shoudt & Reilly Psychological Services, LLC
• Bethann Shoudt, PSYD

• Podiatrist in Reading, PA
• Providers in Reading, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.

Verify at the official NPI Registry.