Individual provider Active NPI

Bernard Amiel Harris, M.D.,MPH

  • Addiction Medicine (Internal Medicine) Physician
  • Newtown Square, PA
National Provider Identifier
1619081726
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
MD025875E Issued in PA
Practice address
18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone
(484) 680-7575
Fax
(484) 328-6532
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X MD025875E PA
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD025875E PA Primary

Addresses

Primary practice location

18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240

Mailing address

41 E Providence Rd
Yeadon, PA 19050-2823
Phone (484) 798-8906

Other practice location 1

18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone (484) 680-7575

Other identifiers 1

IdentifierTypeStateIssuer
01-0935702MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110812000317 PA Practitioner - Addiction MedicinePractitioner - Preventive MedicinePractitioner - General PracticePractitioner - Internal Medicine 0345419156 Reassigns benefits to 3 organizations
Practice locations: Newtown Square, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The MD Telemedicine Network PLLC CurrentSince Mar 17, 2022 Accepting new patients
Merakey Parkside Recovery CurrentSince Jun 27, 2022 Accepting new patients
Bernard Amiel Harris MD Addiction Medicine CurrentSince Apr 24, 2022 Accepting new patients
Centralized Comprehensive Human Services, Inc. CurrentSince Mar 2, 2026 Accepting new patients
Creative Health Services, Inc. CurrentSince Dec 26, 2018 Accepting new patients
West Phila Community Mental Health Consortium, Inc. CurrentSince Dec 7, 2018 Accepting new patients
Creative Health Services, Inc. CurrentSince Dec 26, 2018 Accepting new patients
West Philadelphia Community MH Consortium Inc. CurrentSince Dec 7, 2018 Accepting new patients

Locations

6515 Taft St
Hollywood, FL 33024
Phone (800) 608-4363

112 N Broad St
Philadelphia, PA 19102
Phone (215) 568-0622

3751 Island Ave
Ste 303
Philadelphia, PA 19153

907 N Broad St
Philadelphia, PA 19123
Phone (215) 235-5520

451 S University Ave
Philadelphia, PA 19104
Phone (215) 596-8000

11 Robinson St
Pottstown, PA 19464
Phone (610) 326-9250

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1619081726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E PROVIDENCE RD",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190502823",
            "telephone_number": "484-798-8906",
            "fax_number": "570-309-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD STE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733240",
            "telephone_number": "484-680-7575",
            "fax_number": "484-328-6532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Campus Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190733240",
            "country_code": "US",
            "telephone_number": "484-680-7575",
            "fax_number": "484-680-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BERNARD",
        "middle_name": "AMIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.,MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PA",
            "license": "MD025875E",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD025875E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-0935702",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.