Individual provider Active NPI

Philip Arthur Grieshaber, MD

  • General Practice Physician
  • Bethlehem, PA
National Provider Identifier
1063647790
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD447515 Issued in PA
Practice address
2571 Baglyos Cir Ste B29
Bethlehem, PA 18020-8050
Phone
(484) 576-0844
Fax
(610) 365-1581
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD447515 PA Primary

Addresses

Primary practice location

2571 Baglyos Cir Ste B29
Bethlehem, PA 18020-8050

Mailing address

2571 Baglyos Cir Ste B29
Bethlehem, PA 18020-8050
Phone (484) 576-0844

Other identifiers 2

IdentifierTypeStateIssuer
MD447515OtherPAMEDICAL LICENSE NUMBER
103550006-0002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 28, 2025 through Jan 28, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1063647790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 BAGLYOS CIR STE B29",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208050",
            "telephone_number": "484-576-0844",
            "fax_number": "610-365-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 BAGLYOS CIR STE B29",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208050",
            "telephone_number": "484-576-0844",
            "fax_number": "610-365-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESHABER",
        "first_name": "PHILIP",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD447515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD447515",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103550006-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.