Active NPI
Brian Christopher Melley, D.P.M.
- Podiatrist
- Dothan, AL
National Provider Identifier
1750449526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 300
- Practice address
- 1550 E Main St
Dothan, AL 36301-3012 - Phone
- (334) 671-1441
- Fax
- (334) 671-1688
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003685L | PA | |
| Podiatrist | 213E00000X | 300 | AL | Primary |
Addresses
Primary practice location
1550 E Main St
Dothan, AL 36301-3012
Mailing address
1550 E Main St
Dothan, AL 36301-3012
Phone (334) 671-1441
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 705422 | Other | PA | BLUE SHIELD |
| 0541161000 | Other | PA | KEYSTONE |
| 1292957 | Medicaid | PA | |
| 480020003 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090513000094 | AL | Practitioner - Podiatry | 8820147374 | Practice locations: Dothan, AL; Florala, AL |
| O20120308000203 | AL | DME Supplier - Physician - Podiatry | 0042479297 | Practice locations: Dothan, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1550 E Main St
Dothan, AL 36301-3012
Phone (334) 671-1441
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.04 of 100
- Quality
- 68.7
- Promoting interoperability
- 68
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 432 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 4274 |
| Removal or shaving of skin growth | 580 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian C Melley | Podiatrist | Current | Accepting new patients |
| Lisenby Podiatry | Podiatrist | Current | Accepting new patients |
| Brian C Melley, D.P.M. | Podiatrist | Past | Accepting new patients |
| Mark E Burton, DPM PC | Podiatrist | Past | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1550 E Main St
Dothan, AL 36301
Phone (334) 671-1441
Organizations & group practices 5
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.
-
- Podiatrist
- Dothan, AL
- NPI 1730883034
-
- Podiatrist
- Philadelphia, PA
- NPI 1700090651
-
- Podiatrist
- Dothan, AL
- NPI 1104990415
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Podiatrist
- Yardley, PA
- NPI 1134163801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1750449526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 E MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013012",
"telephone_number": "334-671-1441",
"fax_number": "334-671-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 E MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013012",
"telephone_number": "334-671-1441",
"fax_number": "334-671-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLEY",
"first_name": "BRIAN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003685L",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AL",
"license": "300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "705422",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0541161000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1292957",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480020003",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.