Individual provider Active NPI

Richard Lawernce Lizerbram, DPM

  • Foot Surgery Podiatrist
  • Lansdale, PA
National Provider Identifier
1619055019
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC002335L Issued in PA
Practice address
2032 N Broad St
Lansdale, PA 19446-1051
Phone
(215) 855-6500
Fax
(215) 368-5355
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC002335L PA Primary

Addresses

Primary practice location

2032 N Broad St
Lansdale, PA 19446-1051

Mailing address

2032 N Broad St
Lansdale, PA 19446-1051
Phone (215) 855-6500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110602000277 PA Practitioner - Podiatry 1153444500 Reassigns benefits to 2 organizations
Practice locations: Feasterville, PA; Lansdale, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zoya Berenson MD PC-Greater NE Medical GroupGroup PAC ID 6709858012, 4 clinicians
Independence Foot and Ankle Associates LLCGroup PAC ID 7214191774, 9 clinicians

Practice addresses (Care Compare)

2000 Grant Ave
Suite 201
Philadelphia, PA 19115-4378
Phone (215) 464-6104

721 Arbor Way
Suite 103
Blue Bell, PA 19422-1974
Phone (215) 257-6315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions194
Removal of nail tissue1113
Removal or shaving of skin growth807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002335LPAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zoya Berenson MD PC-Greater NE Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Independence Foot and Ankle Associates LLC Foot Surgery CurrentSince Aug 1, 2021 Accepting new patients
Kentucky Hospital, LLC Past Accepting new patients

Locations

721 Arbor Way
Ste 103
Blue Bell, PA 19422
Phone (215) 257-6315

826 Bustleton Pike
Ste 102
Fstrvl Trvose, PA 19053
Phone (215) 396-9950

2032 N Broad St
Lansdale, PA 19446
Phone (215) 257-6315

2032 N Broad St
Ste 2
Lansdale, PA 19446
Phone (215) 855-6500

2000 Grant Ave
Ste 201
Philadelphia, PA 19115
Phone (215) 464-6104

601 Lawn Ave
Sellersville, PA 18960
Phone (215) 257-6315

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13327/brand/1/csg/1/fhir/r4
  • Direct secure messaging: richardlizerbram@rld-pa.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1619055019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461051",
            "telephone_number": "215-855-6500",
            "fax_number": "215-368-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461051",
            "telephone_number": "215-855-6500",
            "fax_number": "215-368-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZERBRAM",
        "first_name": "RICHARD",
        "middle_name": "LAWERNCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC002335L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.