Individual provider Active NPI

Brooke A Bisbee, DPM

  • Podiatrist
  • Rogers, AR
National Provider Identifier
1427044353
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
190 Issued in AR
Practice address
200 S. 20TH Street
Suite B
Rogers, AR 72758-4470
Phone
(479) 636-9393
Fax
(479) 636-9341
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 190 AR Primary

Addresses

Primary practice location

200 S. 20TH Street
Suite B
Rogers, AR 72758-4470

Mailing address

200 S. 20TH Street
Suite B
Rogers, AR 72758-4470
Phone (479) 636-9393

Other identifiers 4

IdentifierTypeStateIssuer
146125748MedicaidAR
5W274OtherBCBS
480031869OtherRR MEDICARE
4746160001OtherDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20060928000477 AR Practitioner - Podiatry 9931104767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooke a Bisbee DPM PAGroup PAC ID 2961528179, 4 clinicians

Practice addresses (Care Compare)

200 S 20TH St
Suite B
Rogers, AR 72758-1100
Phone (479) 636-9393

Hospital & facility affiliations

  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue59
Removal of skin lesions1-10
Removal of nail tissue110
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brooke a. Bisbee, DPM, PA Podiatrist CurrentSince Aug 1, 2001 Accepting new patients
Brooke a. Bisbee, DPM, PA Podiatrist CurrentSince Jul 1, 2006 Accepting new patients

Locations

209 Carter St
Berryville, AR 72616
Phone (479) 636-9393

200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393

Interoperability endpoints

  • Direct secure messaging: brooke.bisbee.1@4399.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1427044353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S. 20TH STREET",
            "address_2": "SUITE B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584470",
            "telephone_number": "479-636-9393",
            "fax_number": "479-636-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. 20TH STREET",
            "address_2": "SUITE B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584470",
            "telephone_number": "479-636-9393",
            "fax_number": "479-636-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISBEE",
        "first_name": "BROOKE",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146125748",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5W274",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480031869",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4746160001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.