Active NPI
David A. Doyle, D.O.
- Psychiatry Physician
- Bethlehem, PA
National Provider Identifier
1124126578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS007672L
- Practice address
- 1107 Eaton Ave
Bethlehem, PA 18018-1862 - Phone
- (484) 526-2400
- Fax
- (484) 526-3697
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS007672L | PA | Primary |
Addresses
Primary practice location
1107 Eaton Ave
Bethlehem, PA 18018-1862
Mailing address
1107 Eaton Ave
Bethlehem, PA 18018-1862
Phone (484) 526-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001599355 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190807000480 | PA | Order and Referring Only - Psychiatry | 6406049550 | |
| I20231222000535 | NY | Order and Referring Only - Psychiatry | 6406049550 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007672L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1124126578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 EATON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181862",
"telephone_number": "484-526-2400",
"fax_number": "484-526-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 EATON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181862",
"telephone_number": "484-526-2400",
"fax_number": "484-526-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "DAVID",
"middle_name": "A.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "OS007672L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001599355",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.