Individual provider Active NPI

Philip Joseph Bresnahan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Souderton, PA
National Provider Identifier
1790799286
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC-002825-L Issued in PA
Practice address
601 East Broad Street
Suite 220
Souderton, PA 18964
Phone
(215) 723-9688
Fax
(215) 723-3310
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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 Podiatrist 213ES0103X SC-002825-L PA Primary

Addresses

Primary practice location

601 East Broad Street
Suite 220
Souderton, PA 18964

Mailing address

601 East Broad Street
Suite 220
Souderton, PA 18964
Phone (215) 723-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110216000063 PA Practitioner - Podiatry 7416916200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Foot and Ankle Associates LLPGroup PAC ID 6901890086, 15 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

601 E Broad St
Suite 220
Souderton, PA 18964-1263
Phone (215) 723-9688

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

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
Removal of tissue57
Removal of skin lesions12
Removal of nail tissue1241
Removal or shaving of skin growth57
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-002825-LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates LLP Foot & Ankle Surgery CurrentSince Jan 1, 2024 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Sep 1, 2022 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Sep 1, 2022 Accepting new patients
Foot and Ankle Associates LLP Foot & Ankle Surgery CurrentSince Jan 1, 2024 Accepting new patients

Locations

1440 Conchester Hwy
Ste 10
Boothwyn, PA 19060
Phone (610) 459-3288

50 Eastern Ave
Ste 122
Greencastle, PA 17225
Phone (717) 597-4626

601 E Broad St
Ste 220
Souderton, PA 18964
Phone (215) 723-9688

1 Commerce Blvd
Ste 102
West Grove, PA 19390
Phone (610) 345-0222

Interoperability endpoints

  • Direct secure messaging: pbresnahan@usfas.emadirect.md

Organizations & group practices 4

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 1

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1790799286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EAST BROAD STREET",
            "address_2": "SUITE 220",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "18964",
            "telephone_number": "215-723-9688",
            "fax_number": "215-723-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EAST BROAD STREET",
            "address_2": "SUITE 220",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "18964",
            "telephone_number": "215-723-9688",
            "fax_number": "215-723-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESNAHAN",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC-002825-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

Sources for this page

Verify at the official NPI Registry.