NPIMap

Organization Active NPI

Upmc Community Medicine Inc

Doing business as Herbert C Bazron Jr MD Upmc

  • Internal Medicine Physician
  • Wilkinsburg, PA
National Provider Identifier
1285831255
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD034000E Issued in PA
Legal business name
UPMC COMMUNITY MEDICINE INC
Doing business as
Herbert C Bazron Jr MD Upmc
Practice address
224 Penn Ave
Suite B1
Wilkinsburg, PA 15221-2154
Phone
(412) 241-1111
Fax
(412) 242-9243
NPI assigned
Jul 2, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mark Ehalt
Title
Director
Phone
(412) 647-0943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD034000E PA Primary

Addresses

Primary practice location

224 Penn Ave
Suite B1
Wilkinsburg, PA 15221-2154

Mailing address

224 Penn Ave
Suite B1
Wilkinsburg, PA 15221-2154
Phone (412) 241-1111

Other names 1

  • HERBERT C BAZRON JR MD UPMC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000388 PA Part B Supplier - Clinic/Group Practice 2062318975 Receives reassigned benefits from 1,494 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Primecare Medical Assoc200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1285831255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PENN AVE",
            "address_2": "SUITE B1",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212154",
            "telephone_number": "412-241-1111",
            "fax_number": "412-242-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PENN AVE",
            "address_2": "SUITE B1",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212154",
            "telephone_number": "412-241-1111",
            "fax_number": "412-242-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC COMMUNITY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "EHALT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-647-0943"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034000E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERBERT C BAZRON JR MD UPMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkinsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.