Bethlehem Primary Care Providers PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS010000-L Issued in PA

Legal business name

BETHLEHEM PRIMARY CARE PROVIDERS PC

Practice address

3445 High Point Blvd Ste 202
Bethlehem, PA 18017-7812

Phone

(610) 691-2282

Fax

(610) 691-2410

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

William Jude Gould, DO

Title

President

Phone

(610) 691-2282

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554595200000",
    "number": "1558415877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD STE 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177812",
            "telephone_number": "610-691-2282",
            "fax_number": "610-691-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD STE 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177812",
            "telephone_number": "610-691-2282",
            "fax_number": "610-691-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM PRIMARY CARE PROVIDERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-04-07",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-691-2282",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS010000-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "129924",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02348900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2685643",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.gould2@sluhn.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "mail",
            "address_1": "3445 High Point Blvd Ste 202",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180177812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Bethlehem, PA
• Providers in Bethlehem, 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 Apr 7, 2019; 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.