Individual provider Active NPI

Edward A Beagell, D.P.M.

  • Foot Surgery Podiatrist
  • Bethlehem, PA
National Provider Identifier
1629016357
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC-003475-L Issued in PA
Practice address
1806 W Broad St
Bethlehem, PA 18018-3354
Phone
(610) 868-8681
Fax
(610) 694-8781
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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 SC-003475-L PA Primary

Addresses

Primary practice location

1806 W Broad St
Bethlehem, PA 18018-3354

Mailing address

1806 W Broad St
Bethlehem, PA 18018-3354
Phone (610) 868-8681

Other identifiers 1

IdentifierTypeStateIssuer
698873OtherPAHIGHMARK BS

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
I20111227000517 PA Practitioner - Podiatry 3072636794 Practice locations: Bethlehem, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1806 W Broad St
Bethlehem, PA 18018-3354
Phone (610) 868-8681

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions16
Removal of nail tissue4168
Removal or shaving of skin growth670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-003475-LPAMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1629016357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183354",
            "telephone_number": "610-868-8681",
            "fax_number": "610-694-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183354",
            "telephone_number": "610-868-8681",
            "fax_number": "610-694-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAGELL",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC-003475-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "698873",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.