Individual provider Active NPI

Bindu Kumar, BSC, MD, CCFP, MHSC

  • Family Medicine Physician
  • Broomall, PA
National Provider Identifier
1285886275
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD434161 Issued in PA
Practice address
1991 Sproul Rd Ste 600
Broomall, PA 19008-3517
Phone
(215) 707-6158
Fax
(215) 707-5751
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD434161 PA Primary

Addresses

Primary practice location

1991 Sproul Rd Ste 600
Broomall, PA 19008-3517

Mailing address

3401 North Broad Street
Temple University Hospital, Dept of Occupational Health
Philadelphia, PA 19140
Phone (215) 707-6158

Other practice location 1

3401 North Broad Street
Temple University Hospital, Dept of Occupational Health
Philadelphia, PA 19140
Phone (215) 707-6158

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
I20150925000111 PA Practitioner - Family Practice 9436467404 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD434161PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Family Medicine CurrentSince Aug 3, 2015 Accepting new patients

Locations

1991 Sproul Rd
Ste 600
Broomall, PA 19008
Phone (484) 421-1669

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285886275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 NORTH BROAD STREET",
            "address_2": "TEMPLE UNIVERSITY HOSPITAL, DEPT OF OCCUPATIONAL HEALTH",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "215-707-6158",
            "fax_number": "215-707-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 SPROUL RD STE 600",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083517",
            "telephone_number": "215-707-6158",
            "fax_number": "215-707-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 North Broad Street",
            "address_2": "Temple University Hospital, Dept of Occupational Health",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19140",
            "country_code": "US",
            "telephone_number": "215-707-6158",
            "fax_number": "215-707-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "BINDU",
        "name_prefix": "Dr.",
        "credential": "BSC, MD, CCFP, MHSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD434161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

Verify at the official NPI Registry.