Individual provider Active NPI

James Bradford Braudis, DPM

  • Primary Podiatric Medicine Podiatrist
  • Lexington, KY
National Provider Identifier
1710063169
Registry record updated Feb 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
00140 Issued in KY
Practice address
1236 Gainesway Dr
Lexington, KY 40517-2813
Phone
(859) 576-1524
NPI assigned
Oct 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00140 KY
Primary Podiatric Medicine Podiatrist 213EP1101X 00140 KY Primary

Addresses

Primary practice location

1236 Gainesway Dr
Lexington, KY 40517-2813

Mailing address

PO Box 24945
Lexington, KY 40524-4945
Phone (859) 576-1524

Other identifiers 1

IdentifierTypeStateIssuer
80900095MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120125000315 KY Practitioner - Podiatry 4880861202 Practice locations: Nicholasville, KY; Pineville, KY; Liberty, KY; Lexington, KY; Georgetown, KY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 N 2ND St
Nicholasville, KY 40356-1115
Phone (859) 885-3821

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue571
Removal or shaving of skin growth325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James B Braudis DPM PLC Primary Podiatric Medicine PastSince Nov 1, 1995 Accepting new patients
Alpha Counseling & Management, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1710063169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24945",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405244945",
            "telephone_number": "859-576-1524",
            "fax_number": "859-271-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 GAINESWAY DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172813",
            "telephone_number": "859-576-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUDIS",
        "first_name": "JAMES",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00140",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "KY",
            "license": "00140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80900095",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.