Organization Active NPI

Bridesburg Medical Associates, P.C.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1144403718
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRIDESBURG MEDICAL ASSOCIATES, P.C.
Practice address
2600 Lefevre St
Philadelphia, PA 19137-1733
Phone
(215) 743-5959
Fax
(215) 743-4897
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Gene I Geld, D.O.
Title
President
Phone
(215) 743-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2600 Lefevre St
Philadelphia, PA 19137-1733

Mailing address

2600 Lefevre St
Philadelphia, PA 19137-1733
Phone (215) 743-5959

Other identifiers 1

IdentifierTypeStateIssuer
0006177080005MedicaidPA

National Provider Directory

National Provider Directory

Locations

2600 Lefevre St
Philadelphia, PA 19137
Phone (215) 743-5959

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1144403718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LEFEVRE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371733",
            "telephone_number": "215-743-5959",
            "fax_number": "215-743-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LEFEVRE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371733",
            "telephone_number": "215-743-5959",
            "fax_number": "215-743-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDESBURG MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "GELD",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-743-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006177080005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.