Individual provider Active NPI

Carl Bernard Bunker Kurzel, DPM

  • Student in an Organized Health Care Education/Training Program
  • Dayton, OH
National Provider Identifier
1891282588
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4100 W 3Rd St
Dayton, OH 45428-9000
Phone
(937) 268-6511
NPI assigned
Apr 18, 2018
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4100 W 3Rd St
Dayton, OH 45428-9000

Mailing address

63 Shadowridge Dr.
Saint Peters, MO 63376
Phone (314) 440-7825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20230615002881 MO Practitioner - Podiatry 5395092613 Reassigns benefits to 2 organizations
I20250618003418 IL Practitioner - Podiatry 5395092613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Foot Forward CorpGroup PAC ID 8527395227, 2 clinicians

Practice addresses (Care Compare)

123 Rottingham CT
Edwardsville, IL 62025-3778
Phone (636) 224-8297

1479 US Hwy 61
Suite B
Festus, MO 63028-4162
Phone (636) 224-8297

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of skin lesions1-10
Removal of nail tissue1582
Removal or shaving of skin growth134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Foot Forward Corp CurrentSince Apr 14, 2024 Accepting new patients
Best Foot Forward Corp CurrentSince Apr 14, 2024 Accepting new patients
Pedirite Medical Mo LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

123 Rottingham Ct
Edwardsville, IL 62025
Phone (606) 224-8297

27 Auerbach Pl
Glen Carbon, IL 62034
Phone (618) 277-3700

10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800

1479 US Highway 61
Ste B
Crystal Cty, MO 63028
Phone (636) 224-8297

1265 McLaran Ave
Saint Louis, MO 63147
Phone (314) 388-4121

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1891282588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SHADOWRIDGE DR.",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "314-440-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454289000",
            "telephone_number": "937-268-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZEL",
        "first_name": "CARL",
        "middle_name": "BERNARD BUNKER",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.