Active NPI
Mark Brian Bixby, CRNP
- Nurse Practitioner
- Horsham, PA
National Provider Identifier
1306190566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- TP004573P
- Practice address
- 680 Blair Mill Rd
Horsham, PA 19044-2223 - Phone
- (215) 260-0637
- NPI assigned
- Nov 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | TP004573P | PA | |
| Nurse Practitioner | 363L00000X | TP004573P | PA | Primary |
Addresses
Primary practice location
680 Blair Mill Rd
Horsham, PA 19044-2223
Mailing address
4508 Chestnut St
Philadelphia, PA 19139-3608
Phone (267) 787-8300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mercy.life.west.philadelphia@trinityhealthpa.medicity.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1306190566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393608",
"telephone_number": "267-787-8300",
"fax_number": "267-787-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 BLAIR MILL RD",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442223",
"telephone_number": "215-260-0637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIXBY",
"first_name": "MARK",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-08",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "TP004573P",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "TP004573P",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mercy.life.west.philadelphia@trinityhealthpa.medicity.net",
"affiliation": "N",
"endpointDescription": "Mercy LIFE West Philadelphia Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "4508 Chestnut St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191393608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Horsham, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.