Individual provider Active NPI

Bernard James Dicasimirro, D.O.

  • Psychosomatic Medicine Physician
  • Morrisville, PA
National Provider Identifier
1306051925
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
OS007996L Issued in PA
Practice address
825 Highland Ave
Morrisville, PA 19067-1073
Phone
(215) 815-7851
NPI assigned
May 14, 2007
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
Psychosomatic Medicine Physician 2084P0015X OS007996L PA Primary

Addresses

Primary practice location

825 Highland Ave
Morrisville, PA 19067-1073

Mailing address

825 Highland Ave
Morrisville, PA 19067-1073
Phone (215) 815-7851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260415000471 CO Practitioner - Psychiatry 4385733039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4851 Independence St
Wheat Ridge, CO 80033-2243

6870 W 52ND Ave
Suite 102
Arvada, CO 80002-3952

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007996LPAMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Access Network Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306051925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 HIGHLAND AVE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190671073",
            "telephone_number": "215-815-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HIGHLAND AVE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190671073",
            "telephone_number": "215-815-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICASIMIRRO",
        "first_name": "BERNARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PA",
            "license": "OS007996L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, PA

Sources for this page

Verify at the official NPI Registry.