BRADLEY LANE JIMERSON DPM
NPI 1013579150
Podiatrist - Foot & Ankle Surgery in Lake Charles, LA

NPI Status: Active since June 28, 2019

Contact Information

1747 IMPERIAL BLVD
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 721-7236
Fax: (337) 721-7237

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  • Individual
  • Male
  • Years of Experience 7
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • CLIA Number: 19D2021141
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-27-2025

About BRADLEY JIMERSON

This page provides the complete NPI Profile along with additional information for Bradley Jimerson, a provider established in Lake Charles, Louisiana with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 7 years of experience. He graduated from College Of Podiatric Med And Surgery, Des Moines University in 2019. The healthcare provider is registered in the NPI registry with number 1013579150 assigned on June 2019. The practitioner's primary taxonomy code is 213ES0103X with license number 322786 (LA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1013579150
Provider Name
BRADLEY LANE JIMERSON DPM
Gender
Male
Entity Type
Individual
Location Address
1747 IMPERIAL BLVD LAKE CHARLES, LA 70605
Location Phone
(337) 721-7236
Location Fax
(337) 721-7237
Mailing Address
1747 IMPERIAL BLVD LAKE CHARLES, LA 70605
Mailing Phone
(337) 721-7236
Medical School Name
COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
06-28-2019
Last Update Date
07-01-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
322786
License State
LA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

PO9593 (LA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • CHRISTUS Bronze - HMO
  • CHRISTUS Bronze Essential - HMO
  • CHRISTUS Bronze Essential Plus - HMO
  • CHRISTUS Bronze Plus - HMO
  • CHRISTUS Catastrophic - HMO
  • CHRISTUS Gold - HMO
  • CHRISTUS Gold Essential - HMO
  • CHRISTUS Gold Essential Plus - HMO
  • CHRISTUS Gold Plus - HMO
  • CHRISTUS Silver - HMO
  • CHRISTUS Silver Essential - HMO
  • CHRISTUS Silver Essential Plus - HMO
  • CHRISTUS Silver Plus - HMO
  • CHRISTUS Standard Expanded Bronze - HMO
  • CHRISTUS Standard Gold - HMO
  • CHRISTUS Standard Silver - HMO
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Bradley Jimerson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Bradley Jimerson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6002297520

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220714003674

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF003N)

    Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf (HCPCS:L4361)

    2 DME suppliers used 17 Medicare Claims 17 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 80 times for 58 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 152 times for 70 patients

Injection into tendon or ligament

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

This service was performed 13 times for 12 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 15 times for 14 patients

Lower limb (leg) arthroscopy (minimally invasive joint repair)

Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.

This service was performed for 1-10 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 11 times for 11 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 85 times for 85 patients

Removal of skin and tissue, 20.0 sq cm or less

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

This service was performed 43 times for 19 patients

X-ray of ankle, minimum of 3 views

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

This service was performed 29 times for 18 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 101 times for 66 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Bradley Jimerson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
CHRISTUS OCHSNER ST PATRICK HOSPITAL524 DR MICHAEL DEBAKEY DRIVE
LAKE CHARLES, LA 70601
(337) 436-2511Acute Care Hospitals
LAKE CHARLES MEMORIAL HOSPITAL1701 OAK PARK BLVD
LAKE CHARLES, LA 70601
(337) 494-3000Acute Care Hospitals
CHRISTUS OCHSNER LAKE AREA HOSPITAL4200 NELSON ROAD
LAKE CHARLES, LA 70605
(337) 474-6370Acute Care Hospitals

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2021141
Facility Type
Physician Office
Certificate Effective Date
December 28, 2023
Certificate Expiration Date
December 27, 2025
Laboratory Director
DAVID C. MCALPINE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bradley Jimerson to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013579150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202310718110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 1 + 0 + 7 + 1 + 8 + 1 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013579150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760458962DR. BARBARA C TOMEK MD
Individual
Radiology (Diagnostic Radiology)1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 312-8761
1346292810DR. JAMES D PERRY M.D.
Individual
Orthopaedic Surgery1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1750622098IMPERIAL HEALTH
Organization
Clinic/Center (Radiology)1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 433-8400
1134461098 MAGGIE ELIZABETH KINGHAM R.N.
Individual
Registered Nurse1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1043651136 ARIEL MARGAURITE GREENE ATC
Individual
Specialist/Technologist (Athletic Trainer)1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1972928398MRS. SAMI LEIGH BOURGEOIS N.P.
Individual
Nurse Practitioner1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1639589336 JACOB FRANKS DPT
Individual
Physical Therapist1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7280
1174914626 GARETT R ISTRE N.P.
Individual
Nurse Practitioner (Family)1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1912957044DR. DAVID JACOB DREZ JR. M.D.
Individual
Orthopaedic Surgery1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1982656450DR. JOHN WALLACE NOBLE JR. M.D.
Individual
Orthopaedic Surgery1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1154465300DR. CRAIG G MORTON M.D.
Individual
Physical Medicine & Rehabilitation1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1083749162IMPERIAL HEALTH LLP
Organization
Orthopaedic Surgery1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1043340144DR. GEORGE JOSEPH TRAPPEY IV M.D.
Individual
Orthopaedic Surgery1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1205059763DR. STEVEN S HALE M.D.
Individual
Orthopaedic Surgery1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7293
1568673077DR. WILLIAM J LOWRY JR. M.D.
Individual
Physical Medicine & Rehabilitation1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7237
1538365994DR. JONATHAN LYNN FORET M.D.
Individual
Orthopaedic Surgery1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1124205778 ANDREW LEE FORET MD
Individual
Surgery (Surgery of the Hand)1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1053589580DR. JOHN KALIEB POURCIAU D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1407001787DR. TYSON ELLIS GREEN D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236
1558313742MR. DAVID PAUL GUILLORY APRN, FNP
Individual
Nurse Practitioner1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
(337) 721-7236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013579150, enumerated in the NPI registry as an "individual" on June 28, 2019

The provider is located at 1747 Imperial Blvd Lake Charles, La 70605 and the phone number is (337) 721-7236

The provider's speciality is Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider has more than 7 years of experience. He graduated from College Of Podiatric Med And Surgery, Des Moines University in 2019.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, CHRISTUS. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection into tendon or ligament, Injection, methylprednisolone acetate, 40 mg, Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Removal of skin and tissue, 20.0 sq cm or less, X-ray of ankle, minimum of 3 views and X-ray of foot, minimum of 3 views.

The provider's CLIA number is 19D2021141 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

The practitioner is affiliated to the following hospital(s): CHRISTUS OCHSNER ST PATRICK HOSPITAL, LAKE CHARLES MEMORIAL HOSPITAL and CHRISTUS OCHSNER LAKE AREA HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 28, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.