Organization Active NPI

Bensalem Medical Practice, P.C.

  • Family Medicine Physician
  • Bensalem, PA
National Provider Identifier
1669412896
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BENSALEM MEDICAL PRACTICE, P.C.
Practice address
2373 Bristol Rd
Bensalem, PA 19020-6000
Phone
(215) 752-1810
Fax
(215) 752-1060
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Amy Graham Barth, CRNPNPI 1316155567
Title
Managing Partner
Phone
(215) 752-1810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2373 Bristol Rd
Bensalem, PA 19020-6000

Mailing address

2373 Bristol Rd
Bensalem, PA 19020-6000
Phone (215) 752-1810

Other practice location 1

2373 Pasqualone Boulevard
Bensalem, PA 19020
Phone (215) 752-1810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913000124 PA Part B Supplier - Clinic/Group Practice 9537136338 Receives reassigned benefits from 4 practitioners
Practice locations: Bensalem, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0997382Bensalem Medical Practice PC2373 Bristol Road, Bensalem, PA 19020Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

2373 Pasqualone Blvd
Bensalem, PA 19020
Phone (215) 752-1810

Practitioners & affiliated clinicians

Practitioners 4

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1669412896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206000",
            "telephone_number": "215-752-1810",
            "fax_number": "215-752-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206000",
            "telephone_number": "215-752-1810",
            "fax_number": "215-752-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 Pasqualone Boulevard",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "19020",
            "country_code": "US",
            "telephone_number": "215-752-1810",
            "fax_number": "215-752-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENSALEM MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "BARTH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "215-752-1810",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.