Individual provider Active NPI

Edwin W Bittner Jr., MD

  • Surgery Physician
  • West Chester, PA
National Provider Identifier
1366714388
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD066481L Issued in PA
Practice address
1301 Goshen Pkwy
West Chester, PA 19380
West Chester, PA 19380-5986
Phone
(610) 719-5985
NPI assigned
Feb 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD066481L PA Primary

Addresses

Primary practice location

1301 Goshen Pkwy
West Chester, PA 19380
West Chester, PA 19380-5986

Mailing address

1301 Goshen Pkwy
West Chester, PA 19380
West Chester, PA 19380-5986
Phone (610) 719-5985

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD066481LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1366714388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 GOSHEN PKWY",
            "address_2": "WEST CHESTER, PA 19380",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805986",
            "telephone_number": "610-719-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 GOSHEN PKWY",
            "address_2": "WEST CHESTER, PA 19380",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805986",
            "telephone_number": "610-719-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "EDWIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD066481L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.