Active NPI
Gregory M. Bentzinger, DPM, LLC
- Podiatrist
- Bethlehem, PA
National Provider Identifier
1609224161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC004287L
- Legal business name
- GREGORY M. BENTZINGER, DPM, LLC
- Practice address
- 251 Cherokee St
Bethlehem, PA 18015-1209 - Phone
- (610) 865-1380
- Fax
- (610) 865-0834
- NPI assigned
- May 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory M Bentzinger, DPM
- Title
- Owner
- Phone
- (610) 865-1380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC004287L | PA | Primary |
Addresses
Primary practice location
251 Cherokee St
Bethlehem, PA 18015-1209
Mailing address
251 Cherokee St
Bethlehem, PA 18015-1209
Phone (610) 865-1380
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02877400 | Other | PA | CAPITAL |
| 0728620 | Other | PA | HIGHMARK |
| 480028438 | Other | PA | PALMETTO |
| 4871080001 | Other | PA | DMERC |
| 0016315050003 | Medicaid | PA | |
| 0595161 | Other | PA | AETNA |
National Provider Directory
National Provider DirectoryLocations
251 Cherokee St
Bethlehem, PA 18015
Phone (610) 559-1121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Saint Peters, MO
- NPI 1629076021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1609224161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 CHEROKEE ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151209",
"telephone_number": "610-865-1380",
"fax_number": "610-865-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 CHEROKEE ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151209",
"telephone_number": "610-865-1380",
"fax_number": "610-865-0834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY M. BENTZINGER, DPM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "BENTZINGER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-865-1380",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": "SC004287L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL",
"identifier": "02877400",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "0728620",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "480028438",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4871080001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016315050003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0595161",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.