Individual provider Active NPI

William N. Bothwell, MD

  • Surgery Physician
  • Lansdale, PA
National Provider Identifier
1144288291
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD043201L Issued in PA
Practice address
125 Medical Campus Dr
Suite 310
Lansdale, PA 19446-7205
Phone
(215) 368-1122
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD043201L PA Primary

Addresses

Primary practice location

125 Medical Campus Dr
Suite 310
Lansdale, PA 19446-7205

Mailing address

125 Medical Campus Dr
Suite 310
Lansdale, PA 19446-7205
Phone (215) 368-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110706000314 PA Practitioner - General Surgery 5395921951 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043201LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Dec 1, 2017 Accepting new patients

Locations

1245 Highland Ave
Ste 308
Abington, PA 19001
Phone (215) 481-2589

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

Organizations & group practices 1

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1144288291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MEDICAL CAMPUS DR",
            "address_2": "SUITE 310",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194467205",
            "telephone_number": "215-368-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEDICAL CAMPUS DR",
            "address_2": "SUITE 310",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194467205",
            "telephone_number": "215-368-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTHWELL",
        "first_name": "WILLIAM",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD043201L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.