Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Lane Jimerson, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013579150

Bradley Lane Jimerson, DPM is a Podiatry in Lake Charles, Louisiana. Graduated from College of Podiatric Med and Surgery, Des Moines University in 2019, 7 years ago. Practices with Center for Orthopaedics and Spine LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Trained at
College of Podiatric Med and Surgery, Des Moines University
Licensed in
LA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1747 Imperial Blvd
Lake Charles, LA 70605-5362
Phone: (337) 721-7236
Fax: (337) 721-7237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 322786 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PO9593 (LA)

Record details

NPI number1013579150
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 28, 2019
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCOLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Center For Orthopaedics And Spine Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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