Active NPI
Bucks Philadelphia Medical Care Group
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1679626642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD036462E
- Legal business name
- BUCKS PHILADELPHIA MEDICAL CARE GROUP
- Practice address
- 1718 Welsh Road
Philadelphia, PA 19115-3100 - Phone
- (215) 947-6143
- Fax
- (215) 947-6274
- NPI assigned
- Jan 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Mark Berkowitz, M.D.
- Title
- President
- Phone
- (215) 947-6143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD036462E | PA | Primary |
Addresses
Primary practice location
1718 Welsh Road
Philadelphia, PA 19115-3100
Mailing address
725 Lisa Cir
Huntingdon Valley, PA 19006-2223
Phone (215) 947-6143
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011212100001 | Medicaid | PA | |
| 0486513000 | Other | PA | PERSONAL CHOICE |
| 0486513001 | Other | PA | BLUE SHLD,HIGHMRK,KEYSTON |
Other names 1
- BPMCG
National Provider Directory
National Provider DirectoryLocations
760 Woodbourne Rd
Ste B
Langhorne, PA 19047
Phone (215) 831-0230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407801600000",
"number": "1679626642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 LISA CIR",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190062223",
"telephone_number": "215-947-6143",
"fax_number": "215-947-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 WELSH ROAD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191153100",
"telephone_number": "215-947-6143",
"fax_number": "215-947-6274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKS PHILADELPHIA MEDICAL CARE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-20",
"last_updated": "2014-08-12",
"status": "A",
"authorized_official_last_name": "BERKOWITZ",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-947-6143",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD036462E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011212100001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0486513000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHLD,HIGHMRK,KEYSTON",
"identifier": "0486513001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BPMCG",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.