SCOTT WILLIAM BERNEBURG (NPI# 1124005202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124005202 |
| Entity Type | Individual |
| Full Name | SCOTT WILLIAM BERNEBURG |
| Credential | DPM |
| Practice Address |
315 Harper Park Dr Beckley WV 25801-2617 |
| Practice Telephone | 3042539895 |
| Practice Fax Number | 3042539896 |
| Mailing Telephone | 3042539895 |
| Mailing Fax Number | 3042539896 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 00325 | WV | Podiatric Medicine & Surgery Service Providers |
| Street Address |
315 HARPER PARK DR |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215914395 | Scott W Berneburg Dpm Inc | Podiatrist | 315 Harper Park Dr, Beckley, WV 25801-2617 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265550826 | Beckley Podiatry Associates Inc | Podiatrist | 100 North Heights Drive, Beckley, WV 25801 | 2007-03-26 |
| 1528024049 | Charles Allen Taylor II | Podiatrist | 100 N Heights Dr, Beckley, WV 25801-2666 | 2006-04-24 |
| 1215914395 | Scott W Berneburg Dpm Inc | Podiatrist | 315 Harper Park Dr, Beckley, WV 25801-2617 | 2005-12-29 |
| 1144328659 | Luciano Serdoz | Podiatrist | 100 N Heights Dr, Beckley, WV 25801-2666 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548987 | Dupontdpm Pllc | Podiatrist | 3860 Teays Valley Rd Ste 6, Hurricane, WV 25526-9772 | 2018-11-29 |
| 1992244081 | Summersville Outpatient Center | Podiatrist | 702 Proffessional Park Dr, Summersville, WV 26651-2018 | 2017-02-22 |
| 1487816898 | Great Teays Podiatry, Pllc | Podiatrist | 3701 Teays Valley Rd Ste A, Hurricane, WV 25526-9645 | 2008-06-26 |
| 1477737427 | Ankle and Foot Care Centers | Podiatrist | #1 Fox Lane, Chester, WV 26034 | 2007-12-27 |
| 1306020060 | New Martinsville Foot and Ankle | Podiatrist | 317 Whitten Ln, New Martinsville, WV 26155-2145 | 2007-12-18 |
| 1447439831 | Brieloff Foot Centers | Podiatrist | Route 3 Blackburn Square, Suite 6, Keyser, WV 26726 | 2007-11-01 |
| 1912197146 | William Jeffrey Weily | Podiatrist | 6007 Us Route 60 E Ste 228, Barboursville, WV 25504-1042 | 2007-07-25 |
| 1144342338 | Geriatric Foot Care of W Vir | Podiatrist | 2620 Fairmont Ave, Suite 203, Fairmont, WV 26554-3494 | 2007-04-06 |
| 1548327067 | Phillip Kenneth Slampak | Podiatrist | 317 Witten Lane, New Martinsville, WV 26155 | 2007-01-03 |
| 1902976863 | A Nedra Yulonda Fuller Terry | Podiatrist | 2828 First Avenue, Suite 203, Huntington, WV 25702-1236 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.