Organization Active NPI

Bancroft Internal Medicine PA

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1164536322
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BANCROFT INTERNAL MEDICINE PA
Practice address
1806 N Van Buren Street
Suite 200
Wilmington, DE 19802-3851
Phone
(302) 652-3771
Fax
(302) 652-3773
NPI assigned
Aug 17, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Robert G Altschuler, MD
Title
President
Phone
(302) 652-3771

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1806 N Van Buren St
Ste 200
Wilmington, DE 19802
Phone (302) 652-3771

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1806 N Van Buren Street
Suite 200
Wilmington, DE 19802-3851

Mailing address

1806 N Van Buren Street
Suite 200
Wilmington, DE 19802-3851
Phone (302) 652-3771

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000079902MedicaidDE

Other names 1

NPPES NPI Registry
  • Robert G. Altschuler, MD, PA Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2008.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1164536322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N VAN BUREN STREET",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023851",
            "telephone_number": "302-652-3771",
            "fax_number": "302-652-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N VAN BUREN STREET",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023851",
            "telephone_number": "302-652-3771",
            "fax_number": "302-652-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "ALTSCHULER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-652-3771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000079902",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert G. Altschuler, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.