Organization Active NPI

Joseph M. Bednarek MDPC

  • Surgery Physician
  • Bristol, PA
National Provider Identifier
1386665073
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD013626E Issued in PA
Legal business name
JOSEPH M. BEDNAREK MDPC
Practice address
501 Bath Rd
Suite 208
Bristol, PA 19007-3101
Phone
(215) 781-9300
Fax
(215) 781-9359
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Dr. Joseph M Bednarek, M.D.
Title
President
Phone
(215) 739-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD013626E PA Primary

Addresses

Primary practice location

501 Bath Rd
Suite 208
Bristol, PA 19007-3101

Mailing address

2407 E Allegheny Ave
Philadelphia, PA 19134-4402
Phone (215) 739-2121

Other identifiers 1

IdentifierTypeStateIssuer
0006109770001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2407 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 739-2121

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1386665073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344402",
            "telephone_number": "215-739-2121",
            "fax_number": "215-739-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "address_2": "SUITE 208",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-781-9300",
            "fax_number": "215-781-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. BEDNAREK MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "BEDNAREK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-739-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD013626E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006109770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.