Active NPI
David R McBride, MD
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1346239092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME145278
- Practice address
- 1701 John F Kennedy Blvd
Comcast Health Center, Floor 25
Philadelphia, PA 19103-0001 - Phone
- (215) 330-2029
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D78214 | MD | |
| Family Medicine Physician | 207Q00000X | 304356 | NY | |
| Family Medicine Physician | 207Q00000X | MD449226 | PA | |
| Family Medicine Physician | 207Q00000X | 72211 | CT | |
| Family Medicine Physician | 207Q00000X | C1-0023924 | DE | |
| Family Medicine Physician | 207Q00000X | 25MA10914500 | NJ | |
| Family Medicine Physician | 207Q00000X | ME145278 | FL | Primary |
Addresses
Primary practice location
1701 John F Kennedy Blvd
Comcast Health Center, Floor 25
Philadelphia, PA 19103-0001
Mailing address
1701 John F Kennedy Blvd
Comcast Health Center, Floor 25
Philadelphia, PA 19103-0001
Phone (215) 330-2029
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 22, 2016 through Feb 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72211 | CT | MD | Family Medicine Physician |
| C1-0023924 | DE | MD | Family Medicine Physician |
| ME145278 | FL | MD | Family Medicine Physician |
| D78214 | MD | MD | Family Medicine Physician |
| 25MA10914500 | NJ | MD | Family Medicine Physician |
| 304356 | NY | MD | Family Medicine Physician |
| MD449226 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston University Family Medicine, Inc. | Family Medicine | Past | Accepting new patients |
| University Health Center | Past | Accepting new patients | |
| Hallmark Health System Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- david.mcbride@49428401684484.direct.elationemr.com
- david.mcbride@49412312072196.direct.elationemr.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Boston, MA
- NPI 1134166390
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Medford, MA
- NPI 1275673667
-
- Clinic/Center
- College Park, MD
- NPI 1508849639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1346239092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 JOHN F KENNEDY BLVD",
"address_2": "COMCAST HEALTH CENTER, FLOOR 25",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191030001",
"telephone_number": "215-330-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 JOHN F KENNEDY BLVD",
"address_2": "COMCAST HEALTH CENTER, FLOOR 25",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191030001",
"telephone_number": "215-330-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D78214",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "304356",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD449226",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "72211",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C1-0023924",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA10914500",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME145278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.