Organization Active NPI

Southern Berks Family Medicine, PC

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1649224254
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHERN BERKS FAMILY MEDICINE, PC
Practice address
4885 Demoss Rd
Suite 201
Reading, PA 19606-9023
Phone
(610) 779-8951
Fax
(610) 779-9487
NPI assigned
May 19, 2006
Last updated
Aug 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Charles T Givens, M.D.NPI 1336140599
Title
President
Phone
(610) 779-8951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Physical Medicine & Rehabilitation Physician 208100000X

Addresses

Primary practice location

4885 Demoss Rd
Suite 201
Reading, PA 19606-9023

Mailing address

PO Box 4609
Reading, PA 19606-0309
Phone (610) 779-8951

Other identifiers 1

IdentifierTypeStateIssuer
0018418800001MedicaidPA

National Provider Directory

National Provider Directory

Locations

11 Fairlane Rd
#B
Reading, PA 19606
Phone (610) 779-8951

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1649224254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4609",
            "city": "READING",
            "state": "PA",
            "postal_code": "196060309",
            "telephone_number": "610-779-8951",
            "fax_number": "610-779-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 DEMOSS RD",
            "address_2": "SUITE 201",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069023",
            "telephone_number": "610-779-8951",
            "fax_number": "610-779-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BERKS FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-779-8951",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018418800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.