Individual provider Active NPI

James George McBride, MD

  • Ophthalmology Physician
  • Easton, PA
National Provider Identifier
1386727261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD013453E Issued in PA
Practice address
2061 Fairview Ave
Fairview Medical Building
Easton, PA 18042-3916
Phone
(610) 252-8162
Fax
(610) 252-4013
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD013453E PA Primary

Addresses

Primary practice location

2061 Fairview Ave
Fairview Medical Building
Easton, PA 18042-3916

Mailing address

2061 Fairview Ave
Suite 2 Fairview Medical Building
Easton, PA 18042-3916
Phone (610) 252-8162

Other identifiers 10

IdentifierTypeStateIssuer
129887OtherHIGHMARK
18042A001OtherTRICARE FOR LIFE
2320331460OtherHORIZON BCBS NJ
23203314610000OtherNATIONAL BENEFIT ADMINIST
P2912426OtherOXFORD HEALTH
2320331460002OtherCIGNA
20015144OtherAMERIHEALTH MERCY
232033146001OtherMEDICAL MUTUAL
00648123MedicaidPA
0129887OtherKEYSTONE SENIOR BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000090 PA Practitioner - Ophthalmology 0042491789 Practice locations: Easton, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD013453EPAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386727261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 FAIRVIEW AVE",
            "address_2": "SUITE 2 FAIRVIEW MEDICAL BUILDING",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423916",
            "telephone_number": "610-252-8162",
            "fax_number": "610-252-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 FAIRVIEW AVE",
            "address_2": "FAIRVIEW MEDICAL BUILDING",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423916",
            "telephone_number": "610-252-8162",
            "fax_number": "610-252-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JAMES",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD013453E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "129887",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE FOR LIFE",
            "identifier": "18042A001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS NJ",
            "identifier": "2320331460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BENEFIT ADMINIST",
            "identifier": "23203314610000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "P2912426",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2320331460002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20015144",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "232033146001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00648123",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE SENIOR BLUE",
            "identifier": "0129887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.