DR. BRADLY SCOTT SHOLLENBERGER D.P.M. NPI 1366433591

NPI Information

  • NPI: 1366433591
  • Provider Name: DR. BRADLY SCOTT SHOLLENBERGER, D.P.M.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4885 DEMOSS RD
    SUITE 103
    READING, PA
    ZIP 19606
  • Phone: (610) 779-4020

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NPI Details

DR. Bradly Scott Shollenberger, D.P.M. is a podiatrist in Reading, PA with 40 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Bradly Scott Shollenberger, D.P.M. NPI is 1366433591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1985

The provider's business location address is:

4885 DEMOSS RD
SUITE 103
READING, PA
ZIP 19606-023
Phone: (610) 779-4020
Fax: (610) 776-7044

The NPI 1366433591 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Trimming of fingernails or toenails (HCPCS:11719)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)

The enumeration date for this NPI number is 11/5/2005 and was last updated on 11/2/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgerySC002902LPENNSYLVANIANo
2213E00000XPodiatristSC002902LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101328801OTHERPENNSYLVANIABLUE CROSS
2011820330007MEDICAIDPENNSYLVANIA
3688055OTHERPENNSYLVANIAKHPC
431854OTHERPENNSYLVANIAMERCY
50522660000OTHERPENNSYLVANIAKHPE
60524160002MEDICARE NSCPENNSYLVANIA
70000688055MEDICARE NSCPENNSYLVANIA
8688055OTHERPENNSYLVANIABLUE SHIELD
97990970OTHERPENNSYLVANIAGATEWAY
10480012019MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIARAILROAD MEDICARE
110020421000OTHERPENNSYLVANIAKHPE
12688055MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE
13116509OTHERPENNSYLVANIAMED PLUS
14T28621MEDICARE UPINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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