Active NPI
Brooke A Bisbee, DPM
- Podiatrist
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 190
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146125748 | Medicaid | AR | |
| 5W274 | Other | BCBS | |
| 480031869 | Other | RR MEDICARE | |
| 4746160001 | Other | DMERC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 59 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 110 |
| Removal or shaving of skin growth | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooke a. Bisbee, DPM, PA | Podiatrist | Current | Accepting new patients |
| Brooke a. Bisbee, DPM, PA | Podiatrist | Current | 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
- 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.
-
- Primary Podiatric Medicine Podiatrist
- Rogers, AR
- NPI 1114147691
-
- Podiatrist
- Berryville, AR
- NPI 1881468791
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.