Individual provider Active NPI

Bradley Benton Copple, DPM

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
National Provider Identifier
1962648410
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
315 Issued in NE
Practice address
7100 W Center Rd
Omaha, NE 68106-2700
Phone
(402) 506-9127
Fax
(402) 261-0243
NPI assigned
Jan 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 874 IA
Foot & Ankle Surgery Podiatrist 213ES0103X 315 NE Primary

Addresses

Primary practice location

7100 W Center Rd
Omaha, NE 68106-2700

Mailing address

7100 W Center Rd
Omaha, NE 68106-2700
Phone (402) 506-9127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20090826000904 NE Practitioner - Podiatry 7416002415 Reassigns benefits to 1 organization
I20130808000890 IA Practitioner - Podiatry 7416002415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 E Broadway
Council Bluffs, IA 51503-4417
Phone (402) 391-7575

9006 Ohio St
Suite 1
Omaha, NE 68134-6139
Phone (402) 391-7575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions20
Removal of nail tissue498
Removal or shaving of skin growth364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
874IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center of Nebraska, P.C. Foot & Ankle Surgery CurrentSince Dec 20, 2024 Accepting new patients

Locations

411 E Broadway
Council Bluffs, IA 51503
Phone (402) 391-7575

9006 Ohio St
Ste 1
Omaha, NE 68134
Phone (402) 391-7575

1226 N Washington St
Ste 103
Papillion, NE 68046
Phone (402) 391-7575

Interoperability endpoints

  • Direct secure messaging: bradleycopple@thinkaks.allscriptsdirect.net
  • Direct secure messaging: bradley.copple.1@19856.direct.athenahealth.com
  • Direct secure messaging: bcopple@usfas.emadirect.md

Organizations & group practices 2

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 3

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": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1962648410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062700",
            "telephone_number": "402-506-9127",
            "fax_number": "402-261-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062700",
            "telephone_number": "402-506-9127",
            "fax_number": "402-261-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPLE",
        "first_name": "BRADLEY",
        "middle_name": "BENTON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-05",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "874",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.