Individual provider Active NPI

Benjamin P Earle, MD

  • Pediatrics Physician
  • Reading, PA
National Provider Identifier
1437503554
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD479480 Issued in PA
Practice address
2500 Bernville Rd
Reading, PA 19605-9453
Phone
(610) 378-2000
NPI assigned
Apr 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X MD479480 PA
Hospitalist Physician 208M00000X 70815 WI
Pediatrics Physician 208000000X MD479480 PA Primary
Pediatrics Physician 208000000X 70815-20 WI

Addresses

Primary practice location

2500 Bernville Rd
Reading, PA 19605-9453

Mailing address

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 337-7050

Other practice location 1

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 337-7050

Other practice location 2

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-3380

Other practice location 3

500 York Rd Ste 250
Jenkintown, PA 19046-2870
Phone (215) 884-5060

Other identifiers 1

IdentifierTypeStateIssuer
1437503554MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, PA, NJ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200729000579 NY Practitioner - Pediatric Medicine 7012259385 Reassigns benefits to 1 organization
I20220720001048 TX Practitioner - Pediatric Medicine 7012259385 Reassigns benefits to 1 organization
I20231019003883 PA Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 7012259385 Reassigns benefits to 1 organization
I20260401003522 NJ Practitioner - Pediatric Medicine 7012259385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

307 S Evergreen Ave
Woodbury, NJ 08096-2739

524 N 22ND St
Apt 3
Philadelphia, PA 19130-3178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70815WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Medical Group CurrentSince Apr 29, 2024 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Jul 1, 2022 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Dec 1, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 4, 2020 Accepting new patients
Tuba City Regional Health Care Corporation Pediatrics Current Accepting new patients
St. Joseph Medical Group Pediatrics CurrentSince Apr 29, 2024 Accepting new patients
North Shore-Lij Medical PC Hospitalist CurrentSince Jun 4, 2020 Accepting new patients
STC Pediatrics LLC Pediatrics Current Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Dec 1, 2023 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Jul 1, 2022 Accepting new patients
STC Opco LLC Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

500 York Rd
Ste 250
Jenkintown, PA 19046
Phone (215) 572-5300

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1437503554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-337-7050",
            "fax_number": "414-337-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264874",
            "country_code": "US",
            "telephone_number": "414-337-7050",
            "fax_number": "414-337-7020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Spring St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534051667",
            "country_code": "US",
            "telephone_number": "262-687-3380",
            "fax_number": "262-687-5358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 York Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462870",
            "country_code": "US",
            "telephone_number": "215-884-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLE",
        "first_name": "BENJAMIN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "PA",
            "license": "MD479480",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "70815",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD479480",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "70815-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437503554",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.