NPIMap

Individual provider Active NPI

Brian G Stahl, DPM

  • Foot & Ankle Surgery Podiatrist
  • Easton, PA
National Provider Identifier
1023101169
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004138L Issued in PA
Practice address
2690 Kingston Rd
Suite 103
Easton, PA 18045-8001
Phone
(610) 438-8899
Fax
(610) 438-8997
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC004138L PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC004138L PA Primary

Addresses

Primary practice location

2690 Kingston Rd
Suite 103
Easton, PA 18045-8001

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

3794 Hecktown Rd Ste 130
Easton, PA 18045-2355
Phone (484) 544-4954

Other identifiers 1

IdentifierTypeStateIssuer
P00972929OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000065 PA Practitioner - Podiatry 6507821709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1621 N Cedar Crest Blvd
Allentown, PA 18104-2304
Phone (610) 402-8900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue624
Removal or shaving of skin growth284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Mar 2, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 2, 2022 Accepting new patients
Lehigh Valley Physician Group Podiatrist Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

401 N 17th St
Ste 210
Allentown, PA 18104
Phone (610) 821-4920

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3258

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1621 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 402-3300

2775 Schoenersville Rd
Bethlehem, PA 18017

3100 Emrick Blvd
Bethlehem, PA 18020
Phone (484) 273-4390

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: bstahl114151@direct2.lvhn.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1023101169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 KINGSTON RD",
            "address_2": "SUITE 103",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458001",
            "telephone_number": "610-438-8899",
            "fax_number": "610-438-8997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3794 Hecktown Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180452355",
            "country_code": "US",
            "telephone_number": "484-544-4954",
            "fax_number": "484-544-4954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "BRIAN",
        "middle_name": "G",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004138L",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004138L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00972929",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.