Individual provider Active NPI

Bruce S Morrison, D.O

  • Sports Medicine (Family Medicine) Physician
  • Huntingdon Valley, PA
National Provider Identifier
1255449476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS004259L Issued in PA
Practice address
1800 Byberry Rd
Mason Mills Park II Suite 703
Huntingdon Valley, PA 19006-3518
Phone
(215) 947-9131
Fax
(215) 947-7194
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X OS004259L PA Primary

Addresses

Primary practice location

1800 Byberry Rd
Mason Mills Park II Suite 703
Huntingdon Valley, PA 19006-3518

Mailing address

1800 Byberry Rd
Mason Mills Park II Suite 703
Huntingdon Valley, PA 19006-3518
Phone (215) 947-9131

Other identifiers 2

IdentifierTypeStateIssuer
119371OtherPAHIGHMARK
0421883000OtherPAINDEPENDENCE BLUE CROSS

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
I20110128000049 PA Practitioner - Family PracticePractitioner - Sports Medicine 1850495276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Philadelphia College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 Byberry Rd
Suite 703
Huntingdon Valley, PA 19006-3519
Phone (215) 947-9131

Hospital & facility affiliations

  • Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
27.4 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
71.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS004259LPAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Trumbore, PT, DPT, PC PastSince Feb 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDDEBA/Endpoint/IDDEBA

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255449476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "MASON MILLS PARK II SUITE 703",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-947-9131",
            "fax_number": "215-947-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "MASON MILLS PARK II SUITE 703",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-947-9131",
            "fax_number": "215-947-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "BRUCE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS004259L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "119371",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0421883000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.