Bucks Philadelphia Medical Care GRP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD036462E Issued in PA

Legal business name

BUCKS PHILADELPHIA MEDICAL CARE GRP

Practice address

9622 Bustleton Avenue
Suite 2
Philadelphia, PA 19115

Phone

(215) 947-6143

Fax

(215) 947-6274

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Mark Berkowitz, MDNPI 1952454928

Title

President

Phone

(215) 947-6143

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• BPMCG Other name

Tax ID family

Bpmcg2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bucks Philadelphia Medical Care Group

  • Non-Pharmacy Dispensing Site
  • Philadelphia, PA
  • NPI 1134528839
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Mark Berkowitz, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1952454928
  NPD (past) Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508912007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 LISA CIRCLE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062223",
            "telephone_number": "215-947-6143",
            "fax_number": "215-947-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9622 BUSTLETON AVENUE",
            "address_2": "SUITE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-947-6143",
            "fax_number": "215-947-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS PHILADELPHIA MEDICAL CARE GRP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERKOWITZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-947-6143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD036462E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011215100001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0486513000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HIGHMARK KEY",
            "identifier": "0486513001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BPMCG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nancy P Buckley, MD
• Natosha Ivy Buckley, M.A.
• Bucks Family Therapy Center
• Bucks Philadelphia Medical Care Group
• Bucks Philadelphia Medical Care Group
• Anthony Buckson
• Zoe Buckwalter
• Frank Bucolo, M.D.
• Lynne M Bucovetsky, RD, LDN, CDE, CFI
• Bill V Bucur, DMD

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

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