Individual provider Active NPI

Bernard Lewin, MD

  • General Practice Physician
  • Huntingdon Valley, PA
National Provider Identifier
1104855055
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD035816E Issued in PA
Practice address
3264 Paper Mill Rd
Huntingdon Valley, PA 19006-3720
Phone
(215) 776-0499
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD035816E PA Primary
Specialist 174400000X MD035816E PA

Addresses

Primary practice location

3264 Paper Mill Rd
Huntingdon Valley, PA 19006-3720

Mailing address

3264 Paper Mill Rd
Huntingdon Valley, PA 19006-3720
Phone (215) 776-0499

Other identifiers 1

IdentifierTypeStateIssuer
01109202MedicaidPA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD035816EPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Norriton Physicians Services Past Accepting new patients
Barden Thorwarth Daughtridge LTD Diagnostic Radiology Past Accepting new patients
PA Orthopedic Imaging Associates LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 3

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1104855055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 PAPER MILL RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063720",
            "telephone_number": "215-776-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 PAPER MILL RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063720",
            "telephone_number": "215-776-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "BERNARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD035816E",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD035816E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01109202",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.