Individual provider Active NPI

David James Abraham, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Wyomissing, PA
National Provider Identifier
1205897964
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MD054229L Issued in PA
Practice address
1270 Broadcasting Rd
Wyomissing, PA 19610-3203
Phone
(610) 372-1140
Fax
(610) 372-7684
NPI assigned
Mar 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X MD054229L PA Primary

Addresses

Primary practice location

1270 Broadcasting Rd
Wyomissing, PA 19610-3203

Mailing address

1270 Broadcasting Rd
Wyomissing, PA 19610-3203
Phone (610) 927-1636

Other identifiers 2

IdentifierTypeStateIssuer
DA6715OtherPARAILROAD MEDICARE
MD05842296OtherPAMED LIC #

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
I20050517000476 PA Practitioner - Orthopedic Surgery 5890680409 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD054229LPAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Orthopedics LLC CurrentSince Jul 1, 2017 Accepting new patients
Keystone Orthopaedic Specialists LLC CurrentSince Jan 1, 2010 Accepting new patients
Keystone Orthopaedic Specialists LLC CurrentSince Jan 1, 2010 Accepting new patients
The Reading Neck and Spine Center Orthopaedic Surgery of the Spine PastSince Jul 1, 1998 Accepting new patients
The Reading Neck and Spine Center Past Accepting new patients

Locations

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

1270 Broadcasting Rd
Wyomissing, PA 19610
Phone (610) 372-1140

2201 Ridgewood Rd
Ste 250
Wyomissing, PA 19610
Phone (610) 372-7429

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

Interoperability endpoints

  • Direct secure messaging: david.abraham.1@2277.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205897964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 BROADCASTING RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103203",
            "telephone_number": "610-927-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 BROADCASTING RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103203",
            "telephone_number": "610-372-1140",
            "fax_number": "610-372-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "MD054229L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA6715",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LIC #",
            "identifier": "MD05842296",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.