Individual provider Active NPI

Bradley T Lemon, D.P.M, F.A.C.F.S

  • Foot & Ankle Surgery Podiatrist
  • Seaford, DE
National Provider Identifier
1366448730
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E10000121 Issued in DE
Practice address
543 N Shipley St
Ste C
Seaford, DE 19973-2339
Phone
(302) 629-3000
Fax
(302) 629-3080
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E10000121 DE Primary

Addresses

Primary practice location

543 N Shipley St
Ste C
Seaford, DE 19973-2339

Mailing address

PO Box 772
Seaford, DE 19973-0772
Phone (302) 629-3000

Other identifiers 9

IdentifierTypeStateIssuer
2161OtherDECOVENTRY
2220599000OtherDEAMERIHEALTH
510401832OtherDEBLUE CROSS BLUE SHIELD
0000776817MedicaidDE
CIGNAOtherDE8699345001
3314440OtherDEAETNA - PPO
3316680OtherDEAETNA - HMO
448142OtherDEOPTIMUM CHOICE
P00062710OtherDERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20040515000258 DE Practitioner - Podiatry 2961492624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Delaware Foot and Ankle LLCGroup PAC ID 5092705749, 3 clinicians

Practice addresses (Care Compare)

543 N Shipley St
Suite C
Seaford, DE 19973-2339
Phone (302) 629-3000

Hospital & facility affiliations

  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue135
Removal of skin lesions26
Removal of nail tissue2099
Removal or shaving of skin growth1325
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E10000121DEMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Delaware Foot & Ankle LLC Foot & Ankle Surgery CurrentSince Sep 1, 2000 Accepting new patients
Tidalhealth Physician Network, Inc. Past Accepting new patients
Seaford Specialty Surgery Center LLC PastSince Aug 1, 2010 Accepting new patients

Locations

505 W Market St
Ste C
Georgetown, DE 19947

543 N Shipley St
Ste C
Seaford, DE 19973
Phone (302) 629-3000

Organizations & group practices 3

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.

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1366448730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199730772",
            "telephone_number": "302-629-3000",
            "fax_number": "302-629-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N SHIPLEY ST",
            "address_2": "STE C",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199732339",
            "telephone_number": "302-629-3000",
            "fax_number": "302-629-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMON",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "credential": "D.P.M, F.A.C.F.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": "E10000121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "2161",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2220599000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510401832",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000776817",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8699345001",
            "identifier": "CIGNA",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - PPO",
            "identifier": "3314440",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "3316680",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "448142",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00062710",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.