Individual provider Active NPI

David Mark Walzer, M.D.

  • Psychiatry Physician
  • Bryn Mawr, PA
National Provider Identifier
1457482291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD023216E Issued in PA
Practice address
14 Elliott Ave
Suite 9
Bryn Mawr, PA 19010-3412
Phone
(610) 525-6076
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Psychiatry Physician 2084P0800X MD023216E PA Primary

Addresses

Primary practice location

14 Elliott Ave
Suite 9
Bryn Mawr, PA 19010-3412

Mailing address

14 Elliott Ave
Suite 9
Bryn Mawr, PA 19010-3412
Phone (610) 525-6076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000805 PA Practitioner - Psychiatry 5294782371 Practice locations: Bryn Mawr, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
The Hahneman Medical College and Hospital, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Elliot Ave
Suite 9
Bryn Mawr, PA 19010-3412
Phone (610) 525-6076

14 Elliott Ave
Suite 9
Bryn Mawr, PA 19010-3412

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457482291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ELLIOTT AVE",
            "address_2": "SUITE 9",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103412",
            "telephone_number": "610-525-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ELLIOTT AVE",
            "address_2": "SUITE 9",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103412",
            "telephone_number": "610-525-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZER",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD023216E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.