DR. BRANDON WALLACE BISHOP (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1427283464

DR. BRANDON WALLACE BISHOP (D.P.M.) is a healthcare provider. based in Roseburg, Oregon. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. DP177099 (OR). The NPI Number for DR. BRANDON WALLACE BISHOP (D.P.M.) is 1427283464

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRANDON WALLACE BISHOP (D.P.M.)
NPI
1427283464
Phone
(541) 391-8155
Address
1813 W HARVARD AVE STE 110
Enumeration Date
20 May 2009
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413918155
Graduation Year
2008 (18 years ago)
PAC ID
2961689377
Group Practice PAC ID
4183006380
Professional Enrollment ID
I20160620001471
Address ID
OR974712753RO1813XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

213 PODIATRY in OR

Provider Addresses for DR. BRANDON WALLACE BISHOP (D.P.M.)

  • 1813 W HARVARD AVE STE 110

    ROSEBURG, OR 974712753

    Phone: (541) 391-8155

    Fax: (541) 391-8154

    Type: Mailing

  • Mercy Drive, Roseburg, Douglas County, Oregon, 97471, United States

    STE. 340

    ROSEBURG, OR 974712348

    Phone: (541) 677-4319

    Fax: (541) 677-2294

    Type: Mailing

  • 2460, Northwest Stewart Parkway, Roseburg, Douglas County, Oregon, 97471, United States

    STE. 100

    ROSEBURG, OR 974711516

    Phone: (541) 229-2663

    Fax: (541) 229-0213

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $673.

Total Amount is formed as General ($673) + Research ($0) + Ownership ($0) = $673.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($448).

Total Amount

$673

General + Research + Ownership

Payments

8

Total payment records

General Amount

$673

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

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: 2016-06-20

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
I20160620001471IPodiatryORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes359194$0
99213Established patient office or other outpatient visit, 20-29 minutes258154$0
99204New patient office or other outpatient visit, 45-59 minutes159159$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg15224$0
11721Removal of fingernails or toenails, 6 or more nails5826$0
View full utilization report →

Insurance plans in this area (ZIP 97471)

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Provider's Procedures

DR. BRANDON WALLACE BISHOP (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYOR73630X-ray of foot, minimum of 3 views4019

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: 4183006380View full group profile
NameSpecialtyState
Physician AssistantOR
Orthopedic SurgeryOR

Reviews

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Frequently asked questions

Is DR. BRANDON WALLACE BISHOP (D.P.M.) listed with a National Provider Identifier?
Yes — DR. BRANDON WALLACE BISHOP (D.P.M.) has NPI 1427283464 on file in the registry.
Is DR. BRANDON WALLACE BISHOP (D.P.M.) still an active registrant?
DR. BRANDON WALLACE BISHOP (D.P.M.) carries an active NPI according to the public dataset.
How would a patient describe DR. BRANDON WALLACE BISHOP (D.P.M.)'s focus?
For DR. BRANDON WALLACE BISHOP (D.P.M.), the primary taxonomy reads as Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. BRANDON WALLACE BISHOP (D.P.M.) located near Roseburg?
DR. BRANDON WALLACE BISHOP (D.P.M.) currently maps to Roseburg, Oregon in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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