Dr Bradley a Bisk PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB53615 Issued in NJ

Legal business name

DR BRADLEY A BISK PA

Practice address

Brighton and Boardwalk
Tropicana Medical Unit
Atlantic City, NJ 08401

Phone

(609) 340-4475

Fax

(609) 343-5205

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley A Bisk, DONPI 1861417693

Title

President

Phone

(609) 340-4475

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Andrew Bisk, D.O.

  • Family Medicine Physician
  • Atlantic City, NJ
  • NPI 1861417693
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1043363906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 EAST DRIVE",
            "city": "VENTNOR",
            "state": "NJ",
            "postal_code": "08406",
            "telephone_number": "609-487-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIGHTON AND BOARDWALK",
            "address_2": "TROPICANA MEDICAL UNIT",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "08401",
            "telephone_number": "609-340-4475",
            "fax_number": "609-343-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRADLEY A BISK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "BISK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-340-4475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB53615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53406179J",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devdarshan Inc
• Harleen Dhaliwal, M.D.
• Anthony M Dinkins, LAC
• Lori Dobson Mulhern
• Linda A Donovan, CNP
• Dr Charles Boxman
• Dr. Irene M. Ryan
• Reva Dubin, MD
• Sondra Jill Dublinsky, LCSW, LCADC
• Brittany C. Eason, DO

• Family Medicine Physician in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.