Individual provider Active NPI

Bryant Allen Nachtigall, DPM

  • Podiatrist
  • Bakersfield, CA
National Provider Identifier
1811348808
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5515 Issued in CA
Practice address
3551 Q St Ste 100
Bakersfield, CA 93301-1658
Phone
(661) 326-2800
NPI assigned
Jun 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00453 KY
Podiatrist 213E00000X E5515 CA Primary

Addresses

Primary practice location

3551 Q St Ste 100
Bakersfield, CA 93301-1658

Mailing address

5101 Office Park Dr
FL 3
Bakersfield, CA 93309-0615
Phone (661) 862-8201

Other practice location 1

142 Chenoweth Ln
Louisville, KY 40207-2651
Phone (502) 897-1616

Other practice location 2

178 N Ewing Ave
Louisville, KY 40206-2459
Phone (502) 554-3792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191018001563 CA Practitioner - Podiatry 5496098956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Practice addresses (Care Compare)

3551 Q St
Bakersfield, CA 93301-1657
Phone (661) 326-2000

Hospital & facility affiliations

  • Kern Medical Center Hospital, Bakersfield, CA, CCN 050315

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
47.69
Promoting interoperability
100
Improvement activities
40
Cost
82.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of nail tissue63
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5515CAMDPodiatrist
5515CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Jun 30, 2021 Accepting new patients
Kern County Hospital Authority CurrentSince Jun 30, 2021 Accepting new patients
Jessica S Jackson DPM PLLC Podiatrist PastSince May 1, 2019 Accepting new patients

Locations

3551 Q St
Ste 100
Bakersfield, CA 93301
Phone (661) 327-3747

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262

Organizations & group practices 3

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 5

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1811348808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 OFFICE PARK DR",
            "address_2": "FL 3",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090615",
            "telephone_number": "661-862-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 Q ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011658",
            "telephone_number": "661-326-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Chenoweth Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402072651",
            "country_code": "US",
            "telephone_number": "502-897-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 N Ewing Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402062459",
            "country_code": "US",
            "telephone_number": "502-554-3792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACHTIGALL",
        "first_name": "BRYANT",
        "middle_name": "ALLEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00453",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.