Bradley L Newswander, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

575 Issued in AZ

Practice address

5656 S Power Rd Ste 124
Gilbert, AZ 85295-8489

Phone

(480) 840-3457

Fax

(480) 840-3458

NPI assigned

Feb 14, 2006

Last updated

Jan 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley L Newswander, DPM,PLCGroup PAC ID 4082690771, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.53 of 100Reported as group

Quality

61.05

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bnewswander@ifa.ssdirect.aprima.com
• Direct secure messaging: gehbnewsw@yourcarecommunity.org

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.

• Bradley L Newswander, DPM,PLC

  dba Impression Foot & Ankle

  • Orthopaedic Foot and Ankle Surgery Physician
  • San Tan Valley, AZ
  • NPI 1740488246

  Podiatrist

  Medicare reassignment Care Compare group NPD Authorized official
• Phoenix Foot & Ankle Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1114058260
  NPD (past)
• Suzanne Abraham

  • Podiatrist
  • Phoenix, AZ
  • NPI 1699727065
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1740254036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958489",
            "telephone_number": "480-840-3457",
            "fax_number": "480-840-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958489",
            "telephone_number": "480-840-3457",
            "fax_number": "480-840-3458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37100 N Gantzel Rd Ste 214",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407353",
            "country_code": "US",
            "telephone_number": "480-321-8267",
            "fax_number": "480-321-8267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSWANDER",
        "first_name": "BRADLEY",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kevin Ngo, DMD
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• Podiatrist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.