Organization Active NPI

Gregory M. Bentzinger, DPM, LLC

  • Podiatrist
  • Bethlehem, PA
National Provider Identifier
1609224161
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC004287L Issued in PA
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

Updated by the provider on May 25, 2016

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02877400OtherPACAPITAL
0728620OtherPAHIGHMARK
480028438OtherPAPALMETTO
4871080001OtherPADMERC
0016315050003MedicaidPA
0595161OtherPAAETNA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.