Individual provider Active NPI

Brooks A Peters, DPM

  • Podiatrist
  • Sellersville, PA
National Provider Identifier
1659380798
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003137L Issued in PA
Practice address
109 Noble St
Sellersville, PA 18960-2311
Phone
(215) 257-5170
Fax
(215) 257-9566
NPI assigned
Aug 7, 2006
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003137L PA Primary

Addresses

Primary practice location

109 Noble St
Sellersville, PA 18960-2311

Mailing address

109 Noble St
Sellersville, PA 18960-2311
Phone (215) 257-5170

Other identifiers 4

IdentifierTypeStateIssuer
041185035MedicaidPA
2701176OtherPAEVERCARE
480006513OtherRAILROAD MEDICARE PALMETT
0081163000OtherPAINDEPENDENCE BLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brooksapetersdpm@BAPD-PA.direct.office.nextgen.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100419000643 PA Practitioner - Podiatry 5799812020 Practice locations: Sellersville, PA
O20100930084677 PA DME Supplier - Physician - Podiatry 5092925990 Practice locations: Sellersville, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Noble St
Sellersville, PA 18960-2311
Phone (215) 257-5170

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue3728
Removal or shaving of skin growth1404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Interoperability endpoints

  • Direct secure messaging: brooksapetersdpm@bapd-pa.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1659380798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NOBLE ST",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189602311",
            "telephone_number": "215-257-5170",
            "fax_number": "215-257-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NOBLE ST",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189602311",
            "telephone_number": "215-257-5170",
            "fax_number": "215-257-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "BROOKS",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003137L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041185035",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "2701176",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PALMETT",
            "identifier": "480006513",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0081163000",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooksapetersdpm@BAPD-PA.direct.office.nextgen.com",
            "affiliation": "N",
            "address_1": "109 Noble St",
            "city": "Sellersville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189602311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.