Bernville Family Practice Center LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BERNVILLE FAMILY PRACTICE CENTER LTD

Practice address

7173 Bernville Road
Bernville, PA 19506

Phone

(610) 488-6291

Fax

(610) 488-0534

NPI assigned

Mar 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna L Landis, AA

Title

Office Manager

Phone

(610) 488-6291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225099401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7173 BERNVILLE ROAD",
            "city": "BERNVILLE",
            "state": "PA",
            "postal_code": "19506",
            "telephone_number": "610-488-6291",
            "fax_number": "610-488-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7173 BERNVILLE ROAD",
            "city": "BERNVILLE",
            "state": "PA",
            "postal_code": "19506",
            "telephone_number": "610-488-6291",
            "fax_number": "610-488-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNVILLE FAMILY PRACTICE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-488-6291",
        "authorized_official_credential": "AA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Ann Clark, ATC
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• Tasha Marie Dipiton de la Rosa

• Family Medicine Physician in Bernville, PA
• Providers in Bernville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.