Lawrence Wadi Bardawil, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD032993E Issued in PA

Practice address

3131 College Heights Blvd
Suite 1200
Allentown, PA 18104-4812

Phone

(610) 439-8551

Fax

(610) 439-1435

NPI assigned

Aug 10, 2005

Last updated

Sep 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avicenna Physician Services Inc

  dba Avicenna Direct Care

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1801499850
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1306848411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD",
            "address_2": "SUITE 1200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044812",
            "telephone_number": "610-439-8551",
            "fax_number": "610-439-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD",
            "address_2": "SUITE 1200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044812",
            "telephone_number": "610-439-8551",
            "fax_number": "610-439-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDAWIL",
        "first_name": "LAWRENCE",
        "middle_name": "WADI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD032993E",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD032993E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010157230001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter J Barbour, MD
• Barchini Chiropractic Center
• Joseph Barchini, DC
• Ana Barco Wong
• Ashley Faye Bard, CRNP
• Kimberlee Bardo, CRNA
• Ann Marie Barilla, RD
• Aries Baringer, BEHAVIOR TECHNICIAN
• Betsy Barket, MPT
• Monica Barlet, RD

• Gastroenterology Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.