Vivify LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS010947L Issued in PA

Legal business name

VIVIFY LLC

Doing business as

Vivify Medical

Practice address

31 E Fornance St
Norristown, PA 19401-3311

Phone

(610) 292-9547

Fax

(610) 292-9548

NPI assigned

Jan 31, 2011

Last updated

Jan 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Bernard Watson, DONPI 1366544710

Title

Member

Phone

(610) 292-9547

Specialties & licenses 1

Addresses

Other names 1

• Vivify Medical Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Bernard Watson, DO

  • Addiction Medicine (Family Medicine) Physician
  • Norristown, PA
  • NPI 1366544710
  NPD (past) Authorized official

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1396041943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E FORNANCE ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013311",
            "telephone_number": "610-292-9547",
            "fax_number": "610-292-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E FORNANCE ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013311",
            "telephone_number": "610-292-9547",
            "fax_number": "610-292-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIFY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-292-9547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010947L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivify Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Victorin, RN
• Robert Vietri, LPT
• Ana Vinaixa Morera
• Vincent J Levito Jr DMD PC
• Vision Behavioral Health Services
• Vna-Community Services, Inc.
• Christine Vu, PHARMD
• Susan Marie Vukovich, RN, BSN
• Kelly Ann Wagner
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3475)

• Family Medicine Physician in Norristown, PA
• Providers in Norristown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.