MR. ROBERT LLOYD VAN BREDERODE DPM NPI 1871590554

NPI Details

MR. Robert Lloyd Van Brederode, DPM is a primary podiatric medicine podiatrist in Spruce Pine, NC with 26 years of experience. MR. Robert Lloyd Van Brederode, DPM NPI is 1871590554. 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 MEDICINE
Graduation Year:2000

The provider's business location address is:

537 ALTAPASS HWY
SPRUCE PINE, NC
ZIP 28777-001
Phone: (828) 766-7667
Fax: (828) 766-7668

The NPI 1871590554 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.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Trimming of fingernails or toenails (HCPCS:11719)
• X-ray of foot, 2 views (HCPCS:73620)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) (HCPCS:G0246)
• Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following i (HCPCS:G0247)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Permanent removal fingernail or toenail (HCPCS:11750)
• Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
• Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 12/23/2009.

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:

Other Identifiers

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