NPIMap

Organization Active NPI

HR Physician Services

Doing business as Comprehensive Breast Care Surgeons

  • Surgery Physician
  • Southampton, PA
National Provider Identifier
1043401748
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HR PHYSICIAN SERVICES
Doing business as
Comprehensive Breast Care Surgeons
Practice address
45 Second Street Pike
Suite 100
Southampton, PA 18966-3806
Phone
(215) 633-3456
Fax
(215) 245-5941
NPI assigned
Aug 7, 2007
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Russell R Wagner
Title
Chief Financial Officer
Phone
(215) 856-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

45 Second Street Pike
Suite 100
Southampton, PA 18966-3806

Mailing address

1648 Huntingdon Pike
1St Floor Business Office
Meadowbrook, PA 19046-8001
Phone (215) 938-2040

Other names 1

  • Comprehensive Breast Care Surgeons Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000028 PA Part B Supplier - Clinic/Group Practice 0042109902 Receives reassigned benefits from 373 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; Meadowbrook, PA; Richboro, PA; Rockledge, PA; Southampton, PA; Warminster, PA; Warmister, PA; Willow Grove, PA…

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1043401748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "1ST FLOOR BUSINESS OFFICE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-2040",
            "fax_number": "215-938-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SECOND STREET PIKE",
            "address_2": "SUITE 100",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663806",
            "telephone_number": "215-633-3456",
            "fax_number": "215-245-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HR PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-856-1114"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Breast Care Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.