Individual provider Active NPI

Alan S. Bailer, DOCTOR OF OSTEOPATHY

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1336258334
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS004481L Issued in PA
Practice address
1330 Cottman Avenue
Philadelphia, PA 19111-3729
Phone
(215) 728-9100
Fax
(215) 728-9101
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB37784 NJ
Cardiovascular Disease Physician 207RC0000X OS004481L PA Primary
Internal Medicine Physician 207R00000X OS004481L PA

Addresses

Primary practice location

1330 Cottman Avenue
Philadelphia, PA 19111-3729

Mailing address

Post Office Box 230
Cheltenham, PA 19012-0230
Phone (215) 728-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000208 PA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8628106309 Practice locations: Elkins Park, PA; Philadelphia, PA; West Reading, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB37784NJMDInternal Medicine Physician
OS004481LPAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1336258334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 230",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190120230",
            "telephone_number": "215-728-9100",
            "fax_number": "215-728-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COTTMAN AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113729",
            "telephone_number": "215-728-9100",
            "fax_number": "215-728-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILER",
        "first_name": "ALAN",
        "middle_name": "S.",
        "credential": "DOCTOR OF OSTEOPATHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB37784",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS004481L",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS004481L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.