NPIMap

Organization Active NPI

Lower Bucks-Spu

  • Clinic/Center
  • Bristol, PA
National Provider Identifier
1144487133
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
123101 Issued in PA
Legal business name
LOWER BUCKS-SPU
Practice address
501 Bath Rd
Bristol, PA 19007-3101
Phone
(215) 785-9200
Fax
(215) 785-9039
NPI assigned
May 19, 2008
Organization subpart
Yes
Parent organization
LOWER BUCKS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Michael Olivieri
Title
Cfo
Phone
(215) 785-9325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 123101 PA Primary

Addresses

Primary practice location

501 Bath Rd
Bristol, PA 19007-3101

Mailing address

501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9200

Other identifiers 1

IdentifierTypeStateIssuer
100745380-0007MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Carl Simons3 organizations share this tax ID, including this one
Part of
Carl Simons

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1144487133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9200",
            "fax_number": "215-785-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9200",
            "fax_number": "215-785-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER BUCKS-SPU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER BUCKS HOSPITAL",
        "enumeration_date": "2008-05-19",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "OLIVIERI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-785-9325"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "123101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100745380-0007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.