Active NPI
Robert N Pursell, MD
- Nephrology Physician
- Bethlehem, PA
National Provider Identifier
1144223371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD036441L
- Practice address
- 701 Ostrum St
Suite 602
Bethlehem, PA 18015-1152 - Phone
- (610) 865-5888
- Fax
- (610) 865-1697
- NPI assigned
- May 23, 2005
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD036441L | PA | Primary |
Addresses
Primary practice location
701 Ostrum St
Suite 602
Bethlehem, PA 18015-1152
Mailing address
701 Ostrum St
Suite 602
Bethlehem, PA 18015-1152
Phone (610) 865-5888
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000085892 | Other | UNISON HEALTH PLAN | |
| 1521236 | Other | GATEWAY HEALTH PLAN | |
| 0006528230001 | Medicaid | PA | |
| 0000155375503 | Other | UNITED HEALTHCARE | |
| 01221001 | Other | CAPITAL BLUE CROSS | |
| 20008806 | Other | AMERIHEALTH MERCY HEALTH | |
| 2349701 | Medicaid | NJ | |
| 39566 | Other | GEISINGER HEALTH PLAN | |
| 000081276 | Other | HIGHMARK BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1144223371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 OSTRUM ST",
"address_2": "SUITE 602",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151152",
"telephone_number": "610-865-5888",
"fax_number": "610-865-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 OSTRUM ST",
"address_2": "SUITE 602",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151152",
"telephone_number": "610-865-5888",
"fax_number": "610-865-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURSELL",
"first_name": "ROBERT",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD036441L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "000000085892",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1521236",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006528230001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0000155375503",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01221001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY HEALTH",
"identifier": "20008806",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2349701",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "39566",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000081276",
"state": null
}
],
"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 Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.