Individual provider Active NPI

David Bengt Nesbit, M.D.

  • Geriatric Psychiatry Physician
  • Clarks Summit, PA
National Provider Identifier
1407985609
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD056117L Issued in PA
Practice address
1451 Hillside Dr
Clarks Summit, PA 18411-9504
Phone
(570) 586-2011
Fax
(570) 587-7197
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

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
Geriatric Psychiatry Physician 2084P0805X MD056117L PA Primary

Addresses

Primary practice location

1451 Hillside Dr
Clarks Summit, PA 18411-9504

Mailing address

1451 Hillside Dr
Clarks Summit, PA 18411-9504
Phone (570) 586-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD056117LPAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Human Services Current Accepting new patients
Pennsylvania Department of Public Welfare CurrentSince Jul 24, 1995 Accepting new patients
Pennsylvania Department of Human Services CurrentSince Jul 24, 1995 Accepting new patients

Locations

1451 Hillside Dr
Clarks Summit, PA 18411
Phone (570) 857-7251

1000 US Highway 522
Selinsgrove, PA 17870
Phone (570) 372-5601

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407985609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 HILLSIDE DR",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119504",
            "telephone_number": "570-586-2011",
            "fax_number": "570-587-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HILLSIDE DR",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119504",
            "telephone_number": "570-586-2011",
            "fax_number": "570-587-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBIT",
        "first_name": "DAVID",
        "middle_name": "BENGT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD056117L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

Verify at the official NPI Registry.