NPIMap

Individual provider Active NPI

Danielle C Bruder, MD

  • Internal Medicine Physician
  • Linfield, PA
National Provider Identifier
1669449880
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD060075L Issued in PA
Practice address
1030 Main St
Linfield, PA 19468-1107
Phone
(610) 495-8300
Fax
(610) 495-1017
NPI assigned
Mar 7, 2006
Last updated
Sep 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD060075L PA Primary

Addresses

Primary practice location

1030 Main St
Linfield, PA 19468-1107

Mailing address

1030 Main St
Linfield, PA 19468-1107
Phone (610) 495-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000637 PA Practitioner - Internal Medicine 6901077692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ches Mont Medical Group PCGroup PAC ID 8628016433, 2 clinicians

Practice addresses (Care Compare)

1030 Main St
Linfield, PA 19468-1107
Phone (610) 495-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
96.83
Improvement activities
40
Cost
82.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060075LPAMDInternal Medicine Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1669449880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "city": "LINFIELD",
            "state": "PA",
            "postal_code": "194681107",
            "telephone_number": "610-495-8300",
            "fax_number": "610-495-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "city": "LINFIELD",
            "state": "PA",
            "postal_code": "194681107",
            "telephone_number": "610-495-8300",
            "fax_number": "610-495-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDER",
        "first_name": "DANIELLE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD060075L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linfield, PA

Sources for this page

Verify at the official NPI Registry.