Individual provider Active NPI

Bradford Samuel Legge, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1992986582
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001054A Issued in IN
Practice address
7950 N Shadeland Ave Ste 100
Indianapolis, IN 46250-2692
Phone
(317) 328-6335
Fax
(317) 328-6336
NPI assigned
Nov 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 07001054A IN Primary

Addresses

Primary practice location

7950 N Shadeland Ave Ste 100
Indianapolis, IN 46250-2692

Mailing address

5471 Georgetown Rd Ste C
Indianapolis, IN 46254-5794
Phone (317) 297-0661

Other practice location 1

13436 Tegler Dr Ste 100
Noblesville, IN 46060-5122
Phone (317) 537-8200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address blegge@directaddress.net Direct
Direct Messaging Address blegge@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080710000717 IN Practitioner - Podiatry 0244302016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates of Indiana PCGroup PAC ID 0143295253, 16 clinicians

Practice addresses (Care Compare)

5471 Georgetown Rd
Suite C
Indianapolis, IN 46254-5794
Phone (317) 297-0661

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue93
Removal of skin lesions14
Removal of nail tissue431
Removal or shaving of skin growth161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001054AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Indiana PC Foot & Ankle Surgery CurrentSince Jul 14, 2008 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5471 Georgetown Rd
Ste C
Indianapolis, IN 46254
Phone (317) 297-0661

8101 Clearvista Pkwy
Ste 250
Indianapolis, IN 46256
Phone (317) 621-3338

9670 E Washington St
Ste 215
Indianapolis, IN 46229
Phone (317) 452-8717

7950 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 588-7130

13436 Tegler Dr
Ste 100
Noblesville, IN 46060
Phone (317) 537-8200

Interoperability endpoints

  • Direct secure messaging: blegge@directaddress.net

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 2

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": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1992986582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 GEORGETOWN RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545794",
            "telephone_number": "317-297-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 N SHADELAND AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502692",
            "telephone_number": "317-328-6335",
            "fax_number": "317-328-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13436 Tegler Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460605122",
            "country_code": "US",
            "telephone_number": "317-537-8200",
            "fax_number": "317-537-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGGE",
        "first_name": "BRADFORD",
        "middle_name": "SAMUEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001054A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blegge@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13436 Tegler Dr Ste 100",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460605122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blegge@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7950 N Shadeland Ave Ste 100",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462502692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.