Richard Alan Buckler, M.D.
Individual provider Active NPI Neurology Physician · Sellersville, PA
NPI 1528051224 · NPPES record last updated Apr 8, 2014
Key facts
- NPI
- 1528051224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- MD040916E (PA)
- Practice address
- 920 Lawn Ave
The Summit - Suite 5
Sellersville, PA 18960-1560 - Phone
- (215) 257-4900
- Fax
- (215) 257-6681
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|---|
| I20100805000914 | PA | Practitioner - Neurology | 4486665627 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040916E | PA | MD | Neurology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD040916E | PA | Yes |
Addresses
Primary practice location
920 Lawn Ave
The Summit - Suite 5
Sellersville, PA 18960-1560
Mailing address
920 Lawn Ave
The Summit - Suite 5
Sellersville, PA 18960-1560
Phone (215) 257-4900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011245210001 | Medicaid | PA |
Other providers in Sellersville, PA
- Dewayne James Brown
- Emily Brown
- Kelly Brownstein
- William Brunner
- Courtney Jay Bryant
- Bucks-Mont Eye Associates, PC
- Rachel A Budich
- James Larson Bumgardner
- Alyssa Bush
- Bux Mont Gastroenterology Associates, PC
All providers in Sellersville, PA · Neurology 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 Apr 8, 2014. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.