Bengt Ivarsson, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD059004L Issued in PA

Practice address

1259 S Cedar Crest Blvd
Suite 301
Allentown, PA 18103-6372

Phone

(610) 402-9400

Fax

(610) 402-9420

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• St. Luke'S Hospital

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1982798088
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1306985387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD",
            "address_2": "SUITE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036372",
            "telephone_number": "610-402-9400",
            "fax_number": "610-402-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVARSSON",
        "first_name": "BENGT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD059004L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001600222",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saif Ul Islam, MD
• Howard Aaron Israel, M.D.
• Lindsay Issokson
• It'S My Life, Inc.
• Radoslav Ivanov, OD
• Gilberto Izquierdo-Santiago
• J. Mecca, L. Gerchman, a. Katz PTRS
• Kristin M Jabbs, DMD
• Shatha Jaber, DDS
• Fieruz Yousif Jabir, PA-C

• Vascular Surgery Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.