Organization Active NPI

Bensalem Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bensalem, PA
National Provider Identifier
1073711230
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BENSALEM DIALYSIS CENTER LLC
Practice address
1336 Bristol Pike
Bensalem, PA 19020-5660
Phone
(215) 638-8671
Fax
(215) 638-8672
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1336 Bristol Pike
Bensalem, PA 19020-5660

Mailing address

1336 Bristol Pike
Bensalem, PA 19020-5660
Phone (215) 638-8671

Other identifiers 1

IdentifierTypeStateIssuer
1020597430001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070831000092 PA Part A Provider - End-Stage Renal Disease Facility (ESRD) 0840383212 Practice locations: Bensalem, PA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Innovative Renal Care BensalemCCN 392742
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Nov 19, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
21

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1072934Bensalem Dialysis Center LLC1336 Bristol Pike, Bensalem, PA 19020Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Locations

1336 Bristol Pike
Ste 130
Bensalem, PA 19020
Phone (215) 638-8671

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1073711230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205660",
            "telephone_number": "215-638-8671",
            "fax_number": "215-638-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205660",
            "telephone_number": "215-638-8671",
            "fax_number": "215-638-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSALEM DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020597430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.