Active NPI
Robert Segal, MD
- Nephrology Physician
- Gwynedd Valley, PA
National Provider Identifier
1073799425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD052562L
- Practice address
- 106 Hillcrest Lane
Gwynedd Valley, PA 19437-0264 - Phone
- (267) 237-7576
- Fax
- (215) 628-3416
- NPI assigned
- Jan 16, 2008
- Last updated
- Jan 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD052562L | PA | Primary |
Addresses
Primary practice location
106 Hillcrest Lane
Gwynedd Valley, PA 19437-0264
Mailing address
106 Hillcrest Lane
PO Box 264
Gwynedd Valley, PA 19437-0264
Phone (267) 237-7576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD052562L | PA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1073799425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 HILLCREST LANE",
"address_2": "PO BOX 264",
"city": "GWYNEDD VALLEY",
"state": "PA",
"postal_code": "194370264",
"telephone_number": "267-237-7576",
"fax_number": "215-628-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 HILLCREST LANE",
"city": "GWYNEDD VALLEY",
"state": "PA",
"postal_code": "194370264",
"telephone_number": "267-237-7576",
"fax_number": "215-628-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-16",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD052562L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gwynedd Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.