Individual provider Active NPI

Bradley N Bowen, O.D.

  • Optometrist
  • Paxinos, PA
National Provider Identifier
1730443771
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002649 Issued in PA
Practice address
1172 State Route 487
Paxinos, PA 17860-7570
Phone
(866) 995-3937
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002649 PA Primary

Addresses

Primary practice location

1172 State Route 487
Paxinos, PA 17860-7570

Mailing address

88 Hardees Dr
Mifflinburg, PA 17844-7062
Phone (570) 538-6002

Other identifiers 1

IdentifierTypeStateIssuer
102747277MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BBowen@eccpa.ecldirect.net Direct BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000520 PA Practitioner - Optometry 8628226602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bernstein, Hilliker, Hartzell Eye Center, LLPGroup PAC ID 0244216018, 17 clinicians

Practice addresses (Care Compare)

1172 State Route 487
Paxinos, PA 17860-7570
Phone (866) 995-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bernstein Hilliker Hartzell Eye Center LLP CurrentSince Dec 1, 2018 Accepting new patients
Bernstein, Hilliker, Hartzell Eye Center, LLP Optometrist CurrentSince Dec 1, 2018 Accepting new patients
Bethlehem Eye Care Associates, P. C. Past Accepting new patients
Cedar Crest Vision Care, PC Optometrist Past Accepting new patients
Bernstein Hilliker Hartzell Eye Center, LLP Optometrist Past Accepting new patients

Locations

137 Jpm Rd
Lewisburg, PA 17837
Phone 5705233288105

5 Railroad Ave
Middleburg, PA 17842
Phone (570) 837-1251

88 Hardees Dr
Mifflinburg, PA 17844
Phone (570) 538-6002

1172 State Route 487
Paxinos, PA 17860

Interoperability endpoints

  • Direct secure messaging: bbowen@eccpa.ecldirect.net
  • Direct secure messaging: bbowen@eccpa.intellechartdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1730443771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HARDEES DR",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178447062",
            "telephone_number": "570-538-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 STATE ROUTE 487",
            "city": "PAXINOS",
            "state": "PA",
            "postal_code": "178607570",
            "telephone_number": "866-995-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "BRADLEY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102747277",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BBowen@eccpa.ecldirect.net",
            "affiliation": "Y",
            "affiliationName": "BERNSTEIN, HILLIKER, HARTZELL EYE CENTER, LLP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1172 State Route 487",
            "city": "Paxinos",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178607570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paxinos, PA

Sources for this page

Verify at the official NPI Registry.