Active NPI
Elizabeth Anne Bergey, MD
- Diagnostic Radiology Physician
- Lewisberry, PA
National Provider Identifier
1316934334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD058946L
- Practice address
- 629D Lowther Rd
Lewisberry, PA 17339-9527 - Phone
- (717) 932-5200
- Fax
- (717) 932-3095
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD058946L | PA | Primary |
Addresses
Primary practice location
629D Lowther Rd
Lewisberry, PA 17339-9527
Mailing address
629D Lowther Rd
Lewisberry, PA 17339-9527
Phone (717) 932-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001696180 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD058946L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Alpha Diagnostics LLC | Past | Accepting new patients | |
| Central Pennsylvania MRI Center | Diagnostic Radiology | Past | Accepting new patients |
| Alpha Diagnostics LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
100 N Academy Ave
Danville, PA 17822
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
Organizations & group practices 6
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.
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Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1316934334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629D LOWTHER RD",
"city": "LEWISBERRY",
"state": "PA",
"postal_code": "173399527",
"telephone_number": "717-932-5200",
"fax_number": "717-932-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629D LOWTHER RD",
"city": "LEWISBERRY",
"state": "PA",
"postal_code": "173399527",
"telephone_number": "717-932-5200",
"fax_number": "717-932-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGEY",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD058946L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001696180",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisberry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.