Individual provider Active NPI

Bruno Schettini, MD

  • Internal Medicine Physician
  • Hamburg, PA
National Provider Identifier
1497827588
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD051500L Issued in PA
Practice address
3560 Old Route 22
Hamburg, PA 19526
Phone
(610) 562-6002
Fax
(570) 621-4560
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD051500L PA Primary

Addresses

Primary practice location

3560 Old Route 22
Hamburg, PA 19526

Mailing address

7317 Lochhaven St
Allentown, PA 18106-9128
Phone (610) 390-0410

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051500LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Emergency Physicians, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1497827588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 LOCHHAVEN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069128",
            "telephone_number": "610-390-0410",
            "fax_number": "610-398-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 OLD ROUTE 22",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "19526",
            "telephone_number": "610-562-6002",
            "fax_number": "570-621-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHETTINI",
        "first_name": "BRUNO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD051500L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.