Active NPI
Bruce Eric Genter, M.D.
- Plastic Surgery Physician
- Huntingdon Valley, PA
National Provider Identifier
1356544183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD030763-E
- Practice address
- 422 Kenwood Rd
Huntingdon Valley, PA 19006-7812 - Phone
- (215) 450-7744
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD030763-E | PA | Primary |
Addresses
Primary practice location
422 Kenwood Rd
Huntingdon Valley, PA 19006-7812
Mailing address
422 Kenwood Rd
Huntingdon Valley, PA 19006-7812
Phone (215) 450-7744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0990778 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD030763-E | PA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1356544183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 KENWOOD RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190067812",
"telephone_number": "215-450-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 KENWOOD RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190067812",
"telephone_number": "215-450-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTER",
"first_name": "BRUCE",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD030763-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0990778",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.