Active NPI
Benjamin P Earle, MD
- Pediatrics Physician
- Reading, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD479480
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437503554 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX, PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 70815 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Medical Group | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| STC Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Pediatrics | Current | Accepting new patients |
| St. Joseph Medical Group | Pediatrics | Current | Accepting new patients |
| North Shore-Lij Medical PC | Hospitalist | Current | Accepting new patients |
| STC Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| STC Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Current | 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.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Philadelphia, PA
- NPI 1144864547
PA, Pediatrics
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Pediatrics, TX
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Turnersville, NJ
- NPI 1700809092
NJ
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
NJ
-
- Anesthesiology Physician
- Reading, PA
- NPI 1841680881
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Family Medicine Physician
- Cameron, AZ
- NPI 1134382211
-
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.