BRADLEY WIEMKEN – Foot & Ankle Surgery Podiatrist, NPI 1679148480

BRADLEY WIEMKEN is a healthcare provider. based in Strongsville, Ohio. specializing in PODIATRY. They hold a License No. 36.004168 (OH). The NPI Number for BRADLEY WIEMKEN is 1679148480

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY WIEMKEN
NPI
1679148480
Phone
(440) 238-1560
Address
15294 PEARL RD
Enumeration Date
24 May 2021
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
4402381560
Graduation Year
2021 (5 years ago)
PAC ID
4587197256
Group Practice PAC ID
0840314860
Professional Enrollment ID
I20241101003418
Address ID
OH441365021ST15294RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for BRADLEY WIEMKEN

  • 15294 PEARL RD

    STRONGSVILLE, OH 441365021

    Phone: (440) 238-1560

    Type: Location

  • 558 HUNTMERE DR

    BAY VILLAGE, OH 441402540

    Phone: (440) 829-5171

    Type: Mailing

  • 3700 KOLBE RD

    LORAIN, OH 440531611

    Phone: (440) 960-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $2,685.

Total Amount is formed as General ($2,685) + Research ($0) + Ownership ($0) = $2,685.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Stryker Corporation ($2,137).

Total Amount

$2,685

General + Research + Ownership

Payments

25

Total payment records

General Amount

$2,685

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-11-01

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
I20241101003418IPodiatryOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44136)

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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: 0840314860View full group profile
NameSpecialtyState
P O D I A T R YOH

Reviews

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Frequently asked questions

Can I cross-check BRADLEY WIEMKEN using NPI 1679148480?
NPI 1679148480 belongs to BRADLEY WIEMKEN; compare other details if you need extra assurance.
Is BRADLEY WIEMKEN shown as active in public data?
Registry records indicate BRADLEY WIEMKEN maintains an active NPI.
What expertise is attributed to BRADLEY WIEMKEN?
BRADLEY WIEMKEN's specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRADLEY WIEMKEN?
Travel planning: use Strongsville, Ohio as the reference point for BRADLEY WIEMKEN, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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