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
- 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 390200000X | Student, 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
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
X-ray of foot, minimum of 3 views
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 patientsThis 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 patientsAn 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 patientsMethylprednisolone 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 patientsLower 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsAn 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 patientsAn 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 patientsFind 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 HOSPITAL | 524 DR MICHAEL DEBAKEY DRIVE LAKE CHARLES, LA 70601 | (337) 436-2511 | Acute Care Hospitals | |
LAKE CHARLES MEMORIAL HOSPITAL | 1701 OAK PARK BLVD LAKE CHARLES, LA 70601 | (337) 494-3000 | Acute Care Hospitals | |
CHRISTUS OCHSNER LAKE AREA HOSPITAL | 4200 NELSON ROAD LAKE CHARLES, LA 70605 | (337) 474-6370 | Acute 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. | |||||||||
1 | 0 | 1 | 3 | 5 | 7 | 9 | 1 | 5 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 2 | 3 | 10 | 7 | 18 | 1 | 10 | |
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 |
---|---|---|---|
1760458962 | DR. BARBARA C TOMEK MD Individual | Radiology (Diagnostic Radiology) | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 312-8761 |
1346292810 | DR. JAMES D PERRY M.D. Individual | Orthopaedic Surgery | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7236 |
1750622098 | IMPERIAL HEALTH Organization | Clinic/Center (Radiology) | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 433-8400 |
1134461098 | MAGGIE ELIZABETH KINGHAM R.N. Individual | Registered Nurse | 1747 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 |
1972928398 | MRS. SAMI LEIGH BOURGEOIS N.P. Individual | Nurse Practitioner | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7236 |
1639589336 | JACOB FRANKS DPT Individual | Physical Therapist | 1747 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 |
1912957044 | DR. DAVID JACOB DREZ JR. M.D. Individual | Orthopaedic Surgery | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7236 |
1982656450 | DR. JOHN WALLACE NOBLE JR. M.D. Individual | Orthopaedic Surgery | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7236 |
1154465300 | DR. CRAIG G MORTON M.D. Individual | Physical Medicine & Rehabilitation | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7236 |
1083749162 | IMPERIAL HEALTH LLP Organization | Orthopaedic Surgery | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7236 |
1043340144 | DR. GEORGE JOSEPH TRAPPEY IV M.D. Individual | Orthopaedic Surgery | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7236 |
1205059763 | DR. STEVEN S HALE M.D. Individual | Orthopaedic Surgery | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7293 |
1568673077 | DR. WILLIAM J LOWRY JR. M.D. Individual | Physical Medicine & Rehabilitation | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7237 |
1538365994 | DR. JONATHAN LYNN FORET M.D. Individual | Orthopaedic Surgery | 1747 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 |
1053589580 | DR. JOHN KALIEB POURCIAU D.P.M. Individual | Podiatrist (Foot & Ankle Surgery) | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7236 |
1407001787 | DR. TYSON ELLIS GREEN D.P.M. Individual | Podiatrist (Foot & Ankle Surgery) | 1747 IMPERIAL BLVD LAKE CHARLES, LA 70605 (337) 721-7236 |
1558313742 | MR. DAVID PAUL GUILLORY APRN, FNP Individual | Nurse Practitioner | 1747 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].
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