Individual provider Active NPI

Bridget Moore, DPM

  • Podiatrist
  • Columbia, SC
National Provider Identifier
1669727251
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
644 Issued in SC
Practice address
1730 Saint Julian PL
Columbia, SC 29204-2410
Phone
(803) 256-6776
Fax
(803) 256-6778
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 644 SC Primary

Addresses

Primary practice location

1730 Saint Julian PL
Columbia, SC 29204-2410

Mailing address

2432 Pleasant Ridge Dr
Columbia, SC 29209-3134
Phone (864) 934-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150730011260 SC Practitioner - Podiatry 1254645518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Footcare, LLCGroup PAC ID 4587748652, 27 clinicians

Practice addresses (Care Compare)

150 Highland Ctr Dr
Columbia, SC 29203-9247
Phone (803) 256-6776

6 Barnette Dr
Sumter, SC 29150-8004
Phone (803) 256-6776

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
63.47
Promoting interoperability
93
Improvement activities
40
Cost
87.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue20
Removal of skin lesions1-10
Removal of nail tissue979
Removal or shaving of skin growth384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Footcare, LLC Podiatrist CurrentSince Jun 15, 2015 Accepting new patients
Stride Pharmacy Past Accepting new patients

Locations

1730 Saint Julian Pl
Columbia, SC 29204
Phone (803) 256-6776

6 Barnette Dr
Sumter, SC 29150
Phone (803) 773-3391

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1669727251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 PLEASANT RIDGE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292093134",
            "telephone_number": "864-934-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SAINT JULIAN PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042410",
            "telephone_number": "803-256-6776",
            "fax_number": "803-256-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIDGET",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.