Dale R. Bortz Jr., DO
Individual provider Active NPI Emergency Medicine Physician · Pottsville, PA
NPI 1477596286 · NPPES record last updated Sep 22, 2020
Key facts
- NPI
- 1477596286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- OS0005826L (PA)
- Practice address
- 420 South Jackson St
Pottsville, PA 17901-2710 - Phone
- (570) 621-4000
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Via Affiliates
Practice addresses (Care Compare)
4259 W Swamp Rd
Suite 108
Doylestown, PA 18902-1033
Phone (267) 370-5295
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040618000646 | PA | Practitioner - Emergency Medicine |
2163407891 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0005826L | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Via Affiliates | Current | Accepting new patients | |
| Pennsylvania Physician Services, LLC | Emergency Medicine | Current |
Accepting new patients |
| Pennsylvania Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of Pennsylvania, PC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Via Affiliates | Current |
Accepting new patients | |
| Via Affiliates | Current |
Accepting new patients | |
| Pennsylvania Physician Services, LLC | Emergency Medicine | Current |
Accepting new patients |
| Grand View Urgent Care, LLC. | Current |
Accepting new patients | |
| Schuylkill Health System Medical Group, Inc. | Past | Accepting new patients | |
| Anthracite Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Services, PC | Emergency Medicine | Past | Accepting new patients |
| Schuylkill Health System Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Schuylkill Medical Center-East Norwegian Street | Past | Accepting new patients | |
| Medexpress Urgent Care, PC - Monaca | Emergency Medicine | Past | Accepting new patients |
| Regents of the University of California - Ucsd Medical Group | Past | Accepting new patients |
Locations
595 W State St
Doylestown, PA 18901
Phone (215) 345-2200
4259 W Swamp Rd
Ste 108
Doylestown, PA 18902
Phone (215) 862-8363
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) 321-1000
Interoperability endpoints
- dale.bortz.1@27404.direct.athenahealth.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- dbortz140686@direct-guthrie.org
- dale.bortz@dhcp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS0005826L | PA | Yes |
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
Other providers in Pottsville, PA
- Karen Kay Bondura
- Kathryn A Bondura
- Boran & Puzzi Ear, Nose & Throat Associates, PC
- Robert P Boran
- Thomas V Boran
- Boscovs Department Store LLC
- Katie M Bowman
- Laura Kate Boyer
- Samantha Rae Bracey
- Richard E. Brannan
All providers in Pottsville, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.