Active NPI
Bradley N Bowen, O.D.
- Optometrist
- Paxinos, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002649
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102747277 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernstein Hilliker Hartzell Eye Center LLP | Current | Accepting new patients | |
| Bernstein, Hilliker, Hartzell Eye Center, LLP | Optometrist | Current | 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
- bbowen@eccpa.ecldirect.net
- 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.
-
- Ophthalmology Physician
- Lewisburg, PA
- NPI 1942390745
Optometrist
-
- Ambulatory Surgical Clinic/Center
- Allenwood, PA
- NPI 1245331628
-
- Optometrist
- Lewisburg, PA
- NPI 1275553570
-
- Eyewear Supplier
- Bethlehem, PA
- NPI 1417971896
-
- Optometrist
- Allentown, PA
- NPI 1508902909
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.