Organization Active NPI

Dale M Weisman MD PC

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1033180609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD037834L Issued in PA
Legal business name
DALE M WEISMAN MD PC
Practice address
401 W Broad St
Bethlehem, PA 18018-5528
Phone
(610) 867-0772
Fax
(610) 954-5333
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dale M Weisman, MD
Title
President
Phone
(610) 867-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD037834L PA Primary

Addresses

Primary practice location

401 W Broad St
Bethlehem, PA 18018-5528

Mailing address

401 W Broad St
Bethlehem, PA 18018-5528
Phone (610) 867-0772

National Provider Directory

National Provider Directory

Locations

401 W Broad St
Bethlehem, PA 18018
Phone (610) 867-0772

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033180609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185528",
            "telephone_number": "610-867-0772",
            "fax_number": "610-954-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185528",
            "telephone_number": "610-867-0772",
            "fax_number": "610-954-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE M WEISMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-867-0772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037834L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.