BRADLEY A HERBST (DPM) – Foot Surgery Podiatrist, NPI 1750356127

BRADLEY A HERBST (DPM) is a healthcare provider. based in Jacksonville, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO2789 (FL). The NPI Number for BRADLEY A HERBST (DPM) is 1750356127

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY A HERBST (DPM)
NPI
1750356127
Phone
(904) 268-6993
Address
12276 SAN JOSE BLVD STE 606
Enumeration Date
21 February 2006
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9042515053
Graduation Year
1997 (29 years ago)
PAC ID
7113074956
Group Practice PAC ID
8820044688
Professional Enrollment ID
I20100506000917
Address ID
FL322238672JA12276BLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for BRADLEY A HERBST (DPM)

  • 12276 SAN JOSE BLVD STE 606

    JACKSONVILLE, FL 322238672

    Phone: (904) 268-6993

    Fax: (904) 260-1523

    Type: Mailing

  • 2140, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    STE 12

    ORANGE PARK, FL 320735129

    Phone: (904) 251-5053

    Fax: (904) 224-2002

    Type: Mailing

  • 13th Avenue South, Oceanside Park, Jacksonville Beach, Duval County, Florida, 32250, United States

    JACKSONVILLE BEACH, FL 322503260

    Phone: (904) 241-2655

    Fax: (904) 249-2425

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $890.

Total Amount is formed as General ($890) + Research ($0) + Ownership ($0) = $890.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Integra LifeSciences Corporation ($255).

Total Amount

$890

General + Research + Ownership

Payments

23

Total payment records

General Amount

$890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100506000917IPodiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes835501$0
11721Removal of fingernails or toenails, 6 or more nails764261$0
73630X-ray of foot, minimum of 3 views558371$0
99203New patient office or other outpatient visit, 30-44 minutes365365$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9523$0
View full utilization report →

Insurance plans in this area (ZIP 32223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820044688View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRADLEY A HERBST (DPM)?
BRADLEY A HERBST (DPM) — NPI 1750356127 — is the standard way to identify this listing.
Does the file indicate BRADLEY A HERBST (DPM) is practicing under active NPI?
Directory data currently reports BRADLEY A HERBST (DPM) as active.
What taxonomy line describes BRADLEY A HERBST (DPM)?
For research purposes, treat BRADLEY A HERBST (DPM) as Foot Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Does BRADLEY A HERBST (DPM) list a practice location?
Patients near Jacksonville, Florida may find BRADLEY A HERBST (DPM) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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