Organization
BERKS FOOT SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLY SCOTT SHOLLENBERGER D.P.M. (PRESIDENT)
(610) 779-4020
Entity
Organization
Contact information
Practice address
4885 DEMOSS RD, SUITE 103, READING, PA 19606-9023
(610) 779-4020
(610) 779-7044
Mailing address
4885 DEMOSS RD, SUITE 103, READING, PA 19606-9023
(610) 779-4020
(610) 779-7044
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002902L
PA
Other
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
Enumeration date
06/21/2007
Last updated
06/27/2008
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