Penn Neurologic Associates

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD040916E Issued in PA

Legal business name

PENN NEUROLOGIC ASSOCIATES

Practice address

920 Lawn Ave
The Summit
Sellersville, PA 18960-1560

Phone

(215) 257-4900

Fax

(215) 257-6681

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Alan Buckler, M.D.

Title

Physician

Phone

(215) 257-4900

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Shaohua Chen, MD

  • Neurology Physician
  • Salem, OR
  • NPI 1477720878
  NPD
• David J Bayard, M.D.

  • Neurology Physician
  • Sellersville, PA
  • NPI 1841283645
  NPD (past)
• Richard T D'Addario, M.D.

  • Specialist
  • Sellersville, PA
  • NPI 1619960317
  NPD (past)
• Ralph J Petrucci, ED.D.

  • Clinical Neuropsychologist
  • Lansdale, PA
  • NPI 1770559056
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1689627648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LAWN AVE",
            "address_2": "THE SUMMIT",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601560",
            "telephone_number": "215-257-4900",
            "fax_number": "215-257-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAWN AVE",
            "address_2": "THE SUMMIT",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601560",
            "telephone_number": "215-257-4900",
            "fax_number": "215-257-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN NEUROLOGIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "BUCKLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-257-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD040916E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03195000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0085270",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1001358",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA COMERCIAL",
            "identifier": "5740334",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "0055941",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012941560002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0022227000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penn Foundation, Inc.
• Penn Foundation, Inc.
• Penn Foundation, Inc.
• Penn Foundation, Inc.
• Penn Foundation, Inc.
• Pennridge Dental Associates, LLC
• Pennridge OBGYN Associates
• Pennridge Pediataric Associates Inc
• Kelly Perez, M.S. LBS BCBA
• Brooks A Peters, DPM

• Neurology Physician in Sellersville, PA
• Providers in Sellersville, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.