# BERKS FOOT SPECIALISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548466261
- **Authorized official:** DR. BRADLY SCOTT SHOLLENBERGER D.P.M. (PRESIDENT)
- **Authorized official phone:** (610) 779-4020

## Contact information

- **Practice address:** 4885 DEMOSS RD, SUITE 103, READING, PA 19606-9023
- **Practice address phone:** (610) 779-4020
- **Practice address fax:** (610) 779-7044
- **Mailing address:** 4885 DEMOSS RD, SUITE 103, READING, PA 19606-9023
- **Mailing address phone:** (610) 779-4020
- **Mailing address fax:** (610) 779-7044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC002902L | PA | Yes |

## Other

- **Enumeration date:** 06/21/2007
- **Last updated:** 06/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000688055 | INDEPENDENCE BLUE CROSS | PA |
| 05 | — | 011820330007 | — | PA |
| 01 | — | 01328801 | KHP CENTRAL | PA |
| 01 | — | 02363800 | BLUE CROSS | PA |
| 01 | — | 0522660000 | KHP EAST | PA |
| 01 | — | 31854 | AMERIHEALTH MERCY | PA |
| 01 | — | 688055 | PA BLUE SHIELD | PA |