Organization Active NPI

Bontempo Orthopedics

  • Orthopaedic Surgery Physician
  • Wyomissing, PA
National Provider Identifier
1639741978
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BONTEMPO ORTHOPEDICS
Practice address
2201 Ridgewood Road
Suite 160
Wyomissing, PA 19610-1190
Phone
(484) 509-1900
Fax
(484) 388-4168
NPI assigned
Jul 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Debra Terrell
Title
Billing Specialist
Phone
(267) 639-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2201 Ridgewood Road
Suite 160
Wyomissing, PA 19610-1190

Mailing address

2417 Welsh Road
Suite 220
Philadelphia, PA 19114-2213
Phone (267) 639-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006000818 PA Part B Supplier - Clinic/Group Practice 6406254440 Receives reassigned benefits from 1 practitioner
Practice locations: Allentown, PA; Philadelphia, PA; Wyomissing, PA

National Provider Directory

National Provider Directory

Locations

4500 City Ave
Fl 3
Philadelphia, PA 19131

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": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1639741978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 WELSH ROAD",
            "address_2": "SUITE 220",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142213",
            "telephone_number": "267-639-2555",
            "fax_number": "215-613-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD ROAD",
            "address_2": "SUITE 160",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101190",
            "telephone_number": "484-509-1900",
            "fax_number": "484-388-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONTEMPO ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "267-639-2555"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.