Individual provider Active NPI

Bradley Wiemken

  • Foot & Ankle Surgery Podiatrist
  • Strongsville, OH
National Provider Identifier
1679148480
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.004168 Issued in OH
Practice address
15294 Pearl Rd
Strongsville, OH 44136-5021
Phone
(440) 238-1560
NPI assigned
May 24, 2021
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.004168 OH Primary

Addresses

Primary practice location

15294 Pearl Rd
Strongsville, OH 44136-5021

Mailing address

558 Huntmere Dr
Bay Village, OH 44140-2540
Phone (440) 829-5171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241101003418 OH Practitioner - Podiatry 4587197256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory L. Wiemken, DPM, Inc.Group PAC ID 0840314860, 2 clinicians

Practice addresses (Care Compare)

15294 Pearl Rd
Strongsville, OH 44136-5021
Phone (440) 238-1560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue148
Removal or shaving of skin growth69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.004168OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory L. Wiemken, DPM, Inc. Foot & Ankle Surgery CurrentSince Aug 14, 2024 Accepting new patients

Locations

15294 Pearl Rd
Strongsville, OH 44136
Phone (440) 238-1560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1679148480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 HUNTMERE DR",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402540",
            "telephone_number": "440-829-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15294 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441365021",
            "telephone_number": "440-238-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMKEN",
        "first_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.