NPIMap

Individual provider Active NPI

Bryant E Bojewski, DO

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1124009188
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS006966L Issued in PA
Practice address
2820 W 12TH St
Erie, PA 16505-4204
Phone
(814) 833-8800
Fax
(814) 833-2079
NPI assigned
Nov 8, 2005
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS006966L PA Primary

Addresses

Primary practice location

2820 W 12TH St
Erie, PA 16505-4204

Mailing address

1 Lecom PL
Erie, PA 16505-2571
Phone (814) 868-2507

Other identifiers 1

IdentifierTypeStateIssuer
0011701770001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110226000050 PA Practitioner - Internal MedicinePractitioner - Addiction Medicine 3870774623 Reassigns benefits to 3 organizations
Practice locations: Erie, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians
Millcreek Community HospitalGroup PAC ID 8426020173, 67 clinicians

Practice addresses (Care Compare)

1611 Peach St
Suite 315
Erie, PA 16501-2122
Phone (800) 805-6989

2820 W 12TH St
Erie, PA 16505-4204
Phone (814) 833-8800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Current Accepting new patients
Medical Associates of Erie CurrentSince Nov 1, 2021 Accepting new patients
Millcreek Community Hospital Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Medical Associates of Erie Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Aug 1, 2018 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Millcreek Community Hospital CurrentSince Jan 8, 2024 Accepting new patients
Medical Associates of Erie Internal Medicine Current Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Aug 1, 2018 Accepting new patients

Locations

195 E Main St
Bradford, PA 16701
Phone (814) 362-8141

220 S Main St
Ste A
Butler, PA 16001

1 Lecom Pl
Erie, PA 16505

1611 Peach St
Ste 315
Erie, PA 16501

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

2820 W 12th St
Erie, PA 16505
Phone (814) 833-8800

5050 W Ridge Rd
Erie, PA 16506
Phone (814) 833-8800

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

Interoperability endpoints

  • Direct secure messaging: bbojewski@maoeim-pa.direct.office.nextgen.com

Organizations & group practices 9

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1124009188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2507",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054204",
            "telephone_number": "814-833-8800",
            "fax_number": "814-833-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJEWSKI",
        "first_name": "BRYANT",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS006966L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011701770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.