Thomas Bruce Walden, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD021534E Issued in PA

Practice address

3729 Easton Nazareth Hwy
Easton, PA 18045-8344

Phone

(610) 253-3333

Fax

(610) 258-8189

NPI assigned

Sep 21, 2005

Last updated

Jul 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Delta Medix PC

  • Legal Medicine
  • Scranton, PA
  • NPI 1396701876
  Medicare reassignment NPD

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1508852930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 EASTON NAZARETH HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458344",
            "telephone_number": "610-253-3333",
            "fax_number": "610-258-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 EASTON NAZARETH HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458344",
            "telephone_number": "610-253-3333",
            "fax_number": "610-258-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "THOMAS",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD021534E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007331530005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alwin Edward Wagener IV, LPC
• Wakeem Inc (Bell Apothecary)
• Wakeem Inc (bell apothecary)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2252)
• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
• Jennifer Lynn Waldron
• Walgreen Co (Walgreens #05985)
• Walgreen Co (Walgreens #09994)
• Stanley Robert Walker, M. D.
• Cristina Elizabeth Walsh, DO

• Specialist in Easton, PA
• Providers in Easton, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.