BEVERLY ROAD PODIATRY P.C.
NPI 1346659455
Podiatrist in Brooklyn, NY

Active since August 04, 2014
595 FLATBUSH AVE, BROOKLYN, NY 11225(718) 675-1100 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Feb 19, 2018 (2 updates tracked since 2018).

About Beverly Road Podiatry P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY ROAD PODIATRY P.C. (NPI 1346659455) is a healthcare organization registered as a podiatrist in Brooklyn, New York and active in the NPI registry since August 2014. The organization maintains a secondary practice location in Brooklyn and lists Keith Factor, D.p.m., as its authorized official.

NPPES Registry Identity

NPI1346659455
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBEVERLY ROAD PODIATRY P.C.
Location Address595 FLATBUSH AVEBrooklyn, NY 11225-4903
Mailing Address595 Flatbush AveBrooklyn, NY 11225-4903 · (718) 675-1100
Organization SubpartNo
Authorized OfficialKeith FactorD.p.m. · (347) 357-8445
Enumeration DateAugust 4, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1346659455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · 003728
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
595 FLATBUSH AVE, Brooklyn, NY 11225

Secondary Practice Location 1

Location 12146 Beverley RdBrooklyn, NY 11226-5406 · Phone (718) 675-1100

Other Identifiers 1

Other003728NY · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Road Podiatry P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beverly Road Podiatry P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1487674354
595 FLATBUSH AVE
Brooklyn, NY 11225
(347) 357-8445
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Road Podiatry P.C.'s NPI number?

The NPI number for Beverly Road Podiatry P.C. is 1346659455. It was assigned to this organization in the NPPES registry on August 4, 2014.

Where is Beverly Road Podiatry P.C. located?

Beverly Road Podiatry P.C. is located at 595 Flatbush Ave, Brooklyn, NY 11225. The listed phone number is (718) 675-1100.

What is Beverly Road Podiatry P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Beverly Road Podiatry P.C. enrolled in Medicare?

Yes. Beverly Road Podiatry P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beverly Road Podiatry P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Beverly Road Podiatry P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beverly Road Podiatry P.C. was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.