Bryan J O'Neill, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD058644L Issued in PA

Practice address

124 Dekalb Pike
North Wales, PA 19454-1853

Phone

(215) 699-3727

Fax

(215) 699-9337

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Neurologic Group of Bucks/Mont. Cty

  • Specialist
  • North Wales, PA
  • NPI 1518981109
  Medicare reassignment NPD

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1528095783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 DEKALB PIKE",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541853",
            "telephone_number": "215-699-3727",
            "fax_number": "215-699-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 DEKALB PIKE",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541853",
            "telephone_number": "215-699-3727",
            "fax_number": "215-699-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "BRYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD058644L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Wales Dermatology, PLLC
• North Wales Family Dentistry PLLC
• North Wales Family Pharmacy, Inc
• North Wales Hand Rehabilitation, Inc.
• North Wales Hand Rehabilitation, Inc.
• Mary M Oconnor, OTR/L CHT
• Optimal Therapy Inc
• Kyra Zhuyi Otoole, DPT
• Angela Owusu-Edusei, CRNP
• Oxygen Etc., LLC

• Specialist in North Wales, PA
• Providers in North Wales, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.