Richard A Burnell, DPM

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

Sex

Male

Sole proprietor

Yes

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.

• Carolina Podiatry Clinic LLC

  • Primary Podiatric Medicine Podiatrist
  • Camden, SC
  • NPI 1932421385
  NPD (past)
• Darlington County Disabilities and Special Needs Board

  • Case Management Agency
  • Hartsville, SC
  • NPI 1467653121
  NPD (past)

Specialty

Podiatry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

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

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2011.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5473",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "480031163",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Brown
• Lacie Brown
• Sharon Brown
• Laura Marie Browning, LMSW
• Earl W Bryant, MD
• Anna Butler, LPCA
• Ronni Byrd-Bryant
• Shantise Byrd
• Camden Associated Physicians, P.a.
• Camden Bone & Joint LLC

• All providers in Camden, SC
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.