Bruce K Eagleson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD019718E Issued in PA

Practice address

4TH & Walnut Streets
Good Samaritan Hospital
Lebanon, PA 17042-1281

Phone

(717) 270-7740

Fax

(717) 270-2227

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1215998240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S LINCOLN AVE",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427529",
            "telephone_number": "717-272-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH & WALNUT STREETS",
            "address_2": "GOOD SAMARITAN HOSPITAL",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170421281",
            "telephone_number": "717-270-7740",
            "fax_number": "717-270-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLESON",
        "first_name": "BRUCE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD019718E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Michelle Druckman, CRNP
• Leslie Dubowitz, MD
• Amy B Dundore, RPH
• Rebecca Jean Dunlop, SW
• Roberto Dyreyes, M.D.
• Martha Marie Earhart
• Cory Austin Earl, LAPC
• East Coast Nursing LLC
• Dennis J Easter, MD
• Jessica L Eberhart, LCSW

• Emergency Medicine Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.

Verify at the official NPI Registry.