NPIMap

Individual provider Active NPI

Bradley William Lind, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Harrisburg, NC
National Provider Identifier
1740642289
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
692 Issued in NC
Practice address
3800 Hwy 49 South
Harrisburg, NC 28075
Phone
(704) 455-2999
Fax
(704) 455-1624
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 692 NC Primary

Addresses

Primary practice location

3800 Hwy 49 South
Harrisburg, NC 28075

Mailing address

3800 Hwy 49 South
Harrisburg, NC 28075
Phone (704) 455-2999

Other practice location 1

6831 Fairview Rd
Charlotte, NC 28210-3386
Phone (704) 376-3947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190617000628 NC Practitioner - Podiatry 5799018289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

236 Lephillip Court
Suite a
Concord, NC 28025-1917
Phone (419) 221-6717

6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone (419) 221-6717

8310 Medical Plaza Dr
Suite E
Charlotte, NC 28262-6703
Phone (704) 548-0222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue62
Removal of skin lesions1-10
Removal of nail tissue173
Removal or shaving of skin growth104
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jul 1, 2020 Accepting new patients

Locations

8310 Medical Plaza Dr
Ste E
Charlotte, NC 28262
Phone (704) 548-0222

9216 Ardrey Kell Rd
Ste 100
Charlotte, NC 28277
Phone (704) 455-6517

10370 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 542-8253

6831 Fairview Rd
Ste A
Charlotte, NC 28210
Phone (704) 364-2151

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

492 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 788-9797

3800 NC Highway 49 S
Harrisburg, NC 28075

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

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.

Hospital & facility affiliations 12

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1740642289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HWY 49 SOUTH",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "28075",
            "telephone_number": "704-455-2999",
            "fax_number": "704-455-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HWY 49 SOUTH",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "28075",
            "telephone_number": "704-455-2999",
            "fax_number": "704-455-1624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6831 Fairview Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282103386",
            "country_code": "US",
            "telephone_number": "704-376-3947",
            "fax_number": "704-376-9487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIND",
        "first_name": "BRADLEY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

Verify at the official NPI Registry.