Organization Active NPI

Glen S Bartlett

Doing business as Hershey Pediatric Center

  • Primary Care Clinic/Center
  • Hershey, PA
National Provider Identifier
1396715884
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD016218E Issued in PA
Legal business name
GLEN S BARTLETT
Doing business as
Hershey Pediatric Center
Practice address
441 E Chocolate Ave
Hershey, PA 17033-1324
Phone
(717) 533-7850
Fax
(717) 533-8294
NPI assigned
Jan 25, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Glen S Bartlett, MD
Title
Owner
Phone
(717) 533-7850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD016218E PA Primary

Addresses

Primary practice location

441 E Chocolate Ave
Hershey, PA 17033-1324

Mailing address

441 E Chocolate Ave
Hershey, PA 17033-1324
Phone (717) 533-7850

Other names 1

  • Hershey Pediatric Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1396715884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331324",
            "telephone_number": "717-533-7850",
            "fax_number": "717-533-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331324",
            "telephone_number": "717-533-7850",
            "fax_number": "717-533-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN S BARTLETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-533-7850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD016218E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hershey Pediatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.