Individual provider Active NPI

David E Bobman, MD

  • Gastroenterology Physician
  • West Chester, PA
National Provider Identifier
1063471712
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD043873L Issued in PA
Practice address
915 Old Fern Hill Road
Building B Suite 300
West Chester, PA 19380
Phone
(610) 431-3122
Fax
(610) 431-4799
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD043873L PA Primary

Addresses

Primary practice location

915 Old Fern Hill Road
Building B Suite 300
West Chester, PA 19380

Mailing address

915 Old Fern Hill Road
Building B Suite 300
West Chester, PA 19380
Phone (610) 431-3122

Other identifiers 1

IdentifierTypeStateIssuer
D012554160003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000797 PA Practitioner - Gastroenterology 5698713451 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD043873LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Dec 1, 2020 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology CurrentSince Dec 1, 2020 Accepting new patients
West Chester Gi Associates PC Gastroenterology CurrentSince Apr 1, 2005 Accepting new patients
West Chester Endoscopy LLC Past Accepting new patients

Locations

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

1088 W Baltimore Pike
Ste 2407
Media, PA 19063
Phone (610) 521-2008

915 Old Fern Hill Rd
Ste B300
West Chester, PA 19380

915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230

455 Woodview Rd
Ste 215
West Grove, PA 19390
Phone (610) 436-6696

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: davidbobman@wcgiapc.allscriptsdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1063471712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL ROAD",
            "address_2": "BUILDING B SUITE 300",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-431-3122",
            "fax_number": "610-431-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL ROAD",
            "address_2": "BUILDING B SUITE 300",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-431-3122",
            "fax_number": "610-431-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBMAN",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD043873L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D012554160003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.