Bruce W. Body, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA002013L Issued in PA

Practice address

1824 East Third St.
Williamsport, PA 17701-6063

Phone

(570) 601-2200

Fax

(570) 601-2202

NPI assigned

Jan 5, 2006

Last updated

Aug 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bbody133759@direct.geisinger.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bestpractices of Pennsylvania PC

  • Emergency Medicine Physician
  • Williamsport, PA
  • NPI 1891724662
  NPD (past)
• Central PA Emergency Physicians

  • Emergency Medicine Physician
  • Williamsport, PA
  • NPI 1295786622
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1467430942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 EAST THIRD ST.",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016063",
            "telephone_number": "570-601-2200",
            "fax_number": "570-601-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODY",
        "first_name": "BRUCE",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52766",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002013L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "106930",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbody133759@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1824 East Third St.",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177016063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mina-Ayesha A Blair, MSW, LSW
• Alfredo L Blas III, MD
• Glenn T Bloiso, MD
• Eileen M Bloom, PT
• Adwoa Kyeiwa Boahene, MD
• Linda Sue Bohm, CRNA
• Andrew Kipkorir Boiywo, CRNP
• John N. Boll Jr., D.O.
• Michael G Bonner, OD
• Cherl Jaye Booth-Mayes, L.P.C.

• Physician Assistant in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; 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.