Bruce Carl Knickelbein, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002328L Issued in PA

Practice address

9 N 7TH St
Suite 203
Indiana, PA 15701-1880

Phone

(724) 357-7196

Fax

(724) 357-7279

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

96.88 of 100Reported as group

Quality

73.37

Promoting interoperability

100

Improvement activities

40

Cost

82.88

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Onsight Health Care, LLC

  • Podiatrist
  • Harrisburg, PA
  • NPI 1023249232
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1962594754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "SUITE 201",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-349-3290",
            "fax_number": "724-349-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 7TH ST",
            "address_2": "SUITE 203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011880",
            "telephone_number": "724-357-7196",
            "fax_number": "724-357-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNICKELBEIN",
        "first_name": "BRUCE",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002328L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017211930002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halla Kiser
• Cynthia T. Kisiday, M.S., CCC/SPA
• Klain, Heasley, Nettleton MD PC (Matthew N Klain MD-Indiana)
• Emily Kline
• Abigail Rose Knerr
• Laura Anne Knight, PH.D.
• Kara Leigh Kobal, DPT
• Irvin Kochel III, PT
• James Albert Kodman, RPH
• Jeffery L Kohler

• Podiatrist in Indiana, PA
• Providers in Indiana, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.

Verify at the official NPI Registry.