Active NPI
Bret M Levy, MD PHD
- Emergency Medicine Physician
- Lancaster, PA
National Provider Identifier
1649257585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C10005205
- Practice address
- 555 N Duke St
Lancaster, PA 17602-2250 - Phone
- (717) 544-4976
- Fax
- (717) 544-7043
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD417207 | PA | |
| Emergency Medicine Physician | 207P00000X | C10005205 | DE | Primary |
Addresses
Primary practice location
555 N Duke St
Lancaster, PA 17602-2250
Mailing address
PO Box 3012
Wilmington, DE 19804-0012
Phone (800) 456-4629
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000986101 | Medicaid | DE | |
| 0018903470001 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101022000712 | PA | Practitioner - Emergency Medicine | 2466593173 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10005205 | DE | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lock Haven Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Lancaster Emergency Associates LTD | Emergency Medicine | Current | Accepting new patients |
| Sussex Emergency Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Doctors for Emergency Service | Emergency Medicine | Past | Accepting new patients |
Locations
555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945
24 Cree Dr
Lock Haven, PA 17745
Phone (570) 893-5000
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Lancaster, PA
- NPI 1740268184
Emergency Medicine, PA
-
- Emergency Medicine Physician
- Lock Haven, PA
- NPI 1710201322
Emergency Medicine, PA
-
- Emergency Medicine Physician
- Newark, DE
- NPI 1750369674
Emergency Medicine
-
- Emergency Medicine Physician
- Lewes, DE
- NPI 1275512105
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1649257585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3012",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198040012",
"telephone_number": "800-456-4629",
"fax_number": "302-224-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022250",
"telephone_number": "717-544-4976",
"fax_number": "717-544-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "BRET",
"middle_name": "M",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD417207",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DE",
"license": "C10005205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000986101",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018903470001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.