Individual provider Active NPI

Brian Christopher Melley, D.P.M.

  • Podiatrist
  • Dothan, AL
National Provider Identifier
1750449526
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
300 Issued in AL
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

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
705422OtherPABLUE SHIELD
0541161000OtherPAKEYSTONE
1292957MedicaidPA
480020003OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual
Quality
68.7
Promoting interoperability
68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue432
Removal of skin lesions1-10
Removal of nail tissue4274
Removal or shaving of skin growth580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.