Individual provider Active NPI

Dale R. Bortz Jr., DO

  • Emergency Medicine Physician
  • Pottsville, PA
National Provider Identifier
1477596286
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS0005826L Issued in PA
Practice address
420 South Jackson St
Pottsville, PA 17901-2710
Phone
(570) 621-4000
NPI assigned
Jun 13, 2006
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS0005826L PA Primary

Addresses

Primary practice location

420 South Jackson St
Pottsville, PA 17901-2710

Mailing address

PO Box 829641
Philadelphia, PA 19182-0001
Phone (267) 370-5296

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
I20040618000646 PA Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Family Practice 2163407891 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
Philadelphia College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Via AffiliatesGroup PAC ID 1759295512, 180 clinicians

Practice addresses (Care Compare)

4259 W Swamp Rd
Suite 108
Doylestown, PA 18902-1033
Phone (267) 370-5295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0005826LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Current Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Current Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Feb 8, 2011 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Feb 8, 2011 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2010 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine Current Accepting new patients
Via Affiliates CurrentSince Apr 1, 2020 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Aug 7, 2016 Accepting new patients
Grand View Urgent Care, LLC. CurrentSince Mar 15, 2024 Accepting new patients
Via Affiliates CurrentSince Apr 1, 2020 Accepting new patients
Anthracite Emergency Physicians Emergency Medicine Past Accepting new patients
Schuylkill Health System Medical Group, Inc. Emergency Medicine Past Accepting new patients
Regents of the University of California - Ucsd Medical Group Past Accepting new patients
Schuylkill Health System Medical Group, Inc. Past Accepting new patients
Emergency Services, PC Emergency Medicine Past Accepting new patients
Medexpress Urgent Care, PC - Monaca Emergency Medicine Past Accepting new patients
Schuylkill Medical Center-East Norwegian Street Past Accepting new patients

Locations

4259 W Swamp Rd
Ste 108
Doylestown, PA 18902
Phone (215) 862-8363

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

1715 Sumneytown Pike
Lansdale, PA 19446
Phone (215) 453-5600

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

Interoperability endpoints

  • Direct secure messaging: dale.bortz.1@27404.direct.athenahealth.com
  • Direct secure messaging: dale.bortz@dhcp.eclinicaldirectplus.com
  • Direct secure messaging: dbortz140686@direct-guthrie.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1477596286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820001",
            "telephone_number": "267-370-5296",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SOUTH JACKSON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012710",
            "telephone_number": "570-621-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTZ",
        "first_name": "DALE",
        "middle_name": "R.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS0005826L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.