Active NPI
Belvedere Medical Corporation
- Dermatology Physician
- Carlisle, PA
National Provider Identifier
1346356722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- BELVEDERE MEDICAL CORPORATION
- Practice address
- BMC Dermatology Ong
850 Walnut Bottom Road
Carlisle, PA 17013-3632 - Phone
- (717) 245-0272
- Fax
- (717) 243-2357
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George P Branscum Jr., MD
- Title
- President
- Phone
- (717) 243-1515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
BMC Dermatology Ong
850 Walnut Bottom Road
Carlisle, PA 17013-3632
Mailing address
850 Walnut Bottom Road
Belvedere Medical Corporation
Carlisle, PA 17013-3698
Phone (717) 245-0272
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50000624 | Other | PA | CAP BLUE CROSS |
| 0006561610001 | Medicaid | PA | |
| 821504 | Other | PA | HIGHMARK BLUE SHIELD |
Other names 1
- BMC Dermatology Ong
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1346356722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 WALNUT BOTTOM ROAD",
"address_2": "BELVEDERE MEDICAL CORPORATION",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133698",
"telephone_number": "717-245-0272",
"fax_number": "717-243-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BMC DERMATOLOGY ONG",
"address_2": "850 WALNUT BOTTOM ROAD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133632",
"telephone_number": "717-245-0272",
"fax_number": "717-243-2357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELVEDERE MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "BRANSCUM",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-243-1515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP BLUE CROSS",
"identifier": "50000624",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006561610001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "821504",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BMC Dermatology Ong",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.