Individual provider Active NPI

Brandon Joseph Lewis, D.O.

  • Emergency Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1710950696
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS012954 Issued in PA
Practice address
2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone
(484) 884-3017
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS012954 PA Primary

Addresses

Primary practice location

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

Mailing address

2639 W Washington St
Allentown, PA 18104-3870
Phone (610) 433-9708

Other identifiers 1

IdentifierTypeStateIssuer
182160501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061006000076 TX Practitioner - Emergency Medicine 5698797264 Reassigns benefits to 4 organizations
I20230328002351 LA Practitioner - Emergency Medicine 5698797264 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012954PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Medical Winnsboro LLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Bryan Emergency Physicians PA Emergency Medicine CurrentSince Jul 17, 2006 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Lasalle Hospital Service Dist #1 Emergency Medicine Past Accepting new patients
Grand View Emergency Medicine Associates Past Accepting new patients
New Jersey/Pennsylvania Em-1 Medical Services, P.C. Emergency Medicine Past Accepting new patients
College Station Hospital LP Past Accepting new patients
Shikellamy Emergency Physicians Emergency Medicine Past Accepting new patients
Brazos Valley Obstetric Hospitalist, PA PastSince Feb 12, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Alabama, LLC PastSince Jul 1, 2024 Accepting new patients
Usacs Integrated Acute Care Services of North Carolina, PLLC Emergency Medicine PastSince Dec 31, 2023 Accepting new patients
Racine Observation Medical Group, PLLC Emergency Medicine PastSince Mar 15, 2024 Accepting new patients

Locations

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1101 Woodson Dr
Caldwell, TX 77836
Phone (409) 567-3245

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

100 W Cross St
Madisonville, TX 77864
Phone (409) 348-2631

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: blewis65@yourcarecommunity.org

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1710950696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 W WASHINGTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043870",
            "telephone_number": "610-433-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177300",
            "telephone_number": "484-884-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRANDON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS012954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182160501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.