Active NPI
Bruce Stuart Weinstein
- Durable Medical Equipment & Medical Supplies
- Brookhaven, PA
National Provider Identifier
1457601783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- D00580
- Practice address
- 4235 Edgmont Ave
Brookhaven, PA 19015-2315 - Phone
- (610) 876-3365
- Fax
- (610) 876-4880
- NPI assigned
- Sep 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | D00580 | PA | Primary |
Addresses
Primary practice location
4235 Edgmont Ave
Brookhaven, PA 19015-2315
Mailing address
4235 Edgmont Ave
Brookhaven, PA 19015-2315
Phone (610) 876-3365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D00580 | PA | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1457601783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 EDGMONT AVE",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190152315",
"telephone_number": "610-876-3365",
"fax_number": "610-876-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 EDGMONT AVE",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190152315",
"telephone_number": "610-876-3365",
"fax_number": "610-876-4880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "BRUCE",
"middle_name": "STUART",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "D00580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.