Comprehensive Breast Care Assoc PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD042133E Issued in PA

Legal business name

COMPREHENSIVE BREAST CARE ASSOC PC

Practice address

3300 Tillman Drive
Suite 100
Bensalem, PA 19020

Phone

(215) 633-3456

Fax

(215) 245-5941

NPI assigned

Apr 9, 2007

Last updated

Jul 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth Dupree, M.D.NPI 1144252057

Title

President

Phone

(215) 633-3456

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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.

• Beth B. Dupree, M.D.

  • Surgery Physician
  • Southampton, PA
  • NPI 1144252057
  Authorized official Same address or phone
• Elizabeth Matlack, PA-C

  • Surgical Physician Assistant
  • Bensalem, PA
  • NPI 1750541801
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1306969001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TILLMAN DRIVE",
            "address_2": "SUITE 100",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "215-633-3456",
            "fax_number": "215-245-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TILLMAN DRIVE",
            "address_2": "SUITE 100",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "215-633-3456",
            "fax_number": "215-245-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BREAST CARE ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-633-3456",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD042133E",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD073497L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD429193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rose Coll, LAPC
• Dominick A. Commodaro, D.O.
• Community Health Care Providers LLC
• Compassionate Care Hospice of Gwynedd, Inc.
• Compassionate Hands Home Care Services
• Contour Medical Supply Inc (Rotech)
• Cornerstone Care Partners LLC (Amada Senior Care Bensalem, PA)
• Cornerstone Physical Therapy Associates, LLC
• Maria Cotugno, D.C.
• County Care Management

• Surgery Physician in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.