Individual provider Active NPI

Richard A Burnell, DPM

  • Podiatrist
  • Camden, SC
National Provider Identifier
1679678122
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
547 Issued in SC
Practice address
133 Sparkleberry LN
Camden, SC 29020-9197
Phone
(803) 669-2709
Fax
(803) 713-1310
NPI assigned
Sep 13, 2006
Last updated
May 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 547 SC Primary

Addresses

Primary practice location

133 Sparkleberry LN
Camden, SC 29020-9197

Mailing address

133 Sparkleberry Lane
Camden, SC 29020-9197
Phone (803) 669-2709

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
I20040129000425 SC Practitioner - Podiatry 6507769387 Practice locations: York, SC; Aiken, SC; White Rock, SC; Sumter, SC; Saint Matthews, SC; Ridgeway, SC; Orangeburg, SC; Kingstree, SC…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

133 Sparkleberry Lane
Camden, SC 29020
Phone (803) 713-9886

201 N Damascus Church Rd
Hartsville, SC 29550-3470
Phone (843) 332-7252

719 Kershaw Hwy
Camden, SC 29020-1634
Phone (803) 713-8668

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue747
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Darlington County Disabilities and Special Needs Board Past Accepting new patients
Carolina Podiatry Clinic LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1679678122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SPARKLEBERRY LANE",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290209197",
            "telephone_number": "803-669-2709",
            "fax_number": "803-713-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SPARKLEBERRY LN",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290209197",
            "telephone_number": "803-669-2709",
            "fax_number": "803-713-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNELL",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

Verify at the official NPI Registry.