Organization Active NPI

Bruce J. Levin MD LLC

  • Psychiatry Physician
  • Plymouth Meeting, PA
National Provider Identifier
1437591476
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD032467E Issued in PA
Legal business name
BRUCE J. LEVIN MD LLC
Practice address
111 W Germantown Pike
Plymouth Meeting, PA 19462-1435
Phone
(610) 825-8501
Fax
(610) 825-8640
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Bruce J Levin, M.D.
Title
Sole Member
Phone
(610) 825-8501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD032467E PA Primary

Addresses

Primary practice location

111 W Germantown Pike
Plymouth Meeting, PA 19462-1435

Mailing address

111 W Germantown Pike
Plymouth Meeting, PA 19462-1435
Phone (610) 825-8501

National Provider Directory

National Provider Directory

Locations

225 W Germantown Pike
Plymouth Meeting, PA 19462
Phone (215) 680-8375

111 W Germantown Pike
Plymouth Mtng, PA 19462
Phone (215) 985-1135

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1437591476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W GERMANTOWN PIKE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621435",
            "telephone_number": "610-825-8501",
            "fax_number": "610-825-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W GERMANTOWN PIKE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621435",
            "telephone_number": "610-825-8501",
            "fax_number": "610-825-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE J. LEVIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "610-825-8501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD032467E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.