Active NPI
David S Bevilacqua MD PC
- Orthopaedic Surgery Physician
- Orchard Park, NY
National Provider Identifier
1689986317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- DAVID S BEVILACQUA MD PC
- Practice address
- S-3673 Southwestern Blvd
Orchard Park, NY 14127-1740 - Phone
- (716) 662-8087
- NPI assigned
- Jul 10, 2010
- Last updated
- Jul 10, 2010
- 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. David Samuel Bevilacqua, MD
- Title
- President
- Phone
- (716) 662-8089
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
S-3673 Southwestern Blvd
Orchard Park, NY 14127-1740
Mailing address
S-3673 Southwestern Blvd
Orchard Park, NY 14127-1740
Phone (716) 662-8089
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Orchard Park, NY
- NPI 1437169547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278720000000",
"number": "1689986317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S-3673 SOUTHWESTERN BLVD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271740",
"telephone_number": "716-662-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S-3673 SOUTHWESTERN BLVD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271740",
"telephone_number": "716-662-8087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID S BEVILACQUA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-10",
"last_updated": "2010-07-10",
"status": "A",
"authorized_official_last_name": "BEVILACQUA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "SAMUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-662-8089",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.