Active NPI
Joseph M. Bednarek MDPC
- Surgery Physician
- Bristol, PA
National Provider Identifier
1386665073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD013626E
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006109770001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.