Active NPI
Bradley J. Ferrara, MD
- Physical Medicine & Rehabilitation Physician
- Willow Grove, PA
National Provider Identifier
1205883139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD067744L
- Practice address
- 2325 Maryland Road Suite 200
Willow Grove, PA 19090 - Phone
- (215) 657-9393
- Fax
- (215) 657-9398
- NPI assigned
- May 27, 2006
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD067744L | PA | Primary |
Addresses
Primary practice location
2325 Maryland Road Suite 200
Willow Grove, PA 19090
Mailing address
2325 Maryland Rd Ste 200
Willow Grove, PA 19090-1760
Phone (215) 657-9393
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0872975000 | Other | PA | AMERIHEALTH |
| 7127234 | Other | PA | AETNA |
| 1231975 | Other | PA | CIGNA |
| FR950467 | Other | PA | HIGHMARK BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070417000656 | PA | Practitioner - Physical Medicine and Rehabilitation | 3870698004 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD067744L | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Philadelphia Pain Management Center | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Excelsia Physicians Group LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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Physical Medicine & Rehabilitation
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1659086361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1205883139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 MARYLAND RD STE 200",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901760",
"telephone_number": "215-657-9393",
"fax_number": "215-657-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 MARYLAND ROAD SUITE 200",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "19090",
"telephone_number": "215-657-9393",
"fax_number": "215-657-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARA",
"first_name": "BRADLEY",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD067744L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0872975000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7127234",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1231975",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "FR950467",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.