Organization Active NPI

Summit Square Family Medicine,PC

  • Family Medicine Physician
  • Langhorne, PA
National Provider Identifier
1740334812
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S003880L Issued in PA
Legal business name
SUMMIT SQUARE FAMILY MEDICINE,PC
Practice address
1709 Langhorne Newtown Rd
Langhorne, PA 19047-1010
Phone
(215) 986-1900
Fax
(215) 968-1097
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Louis David Bierman, D.O.
Title
President
Phone
(215) 968-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0S003880L PA Primary

Addresses

Primary practice location

1709 Langhorne Newtown Rd
Langhorne, PA 19047-1010

Mailing address

1709 Langhorne Newtown Rd
Langhorne, PA 19047-1010
Phone (215) 986-1900

Other identifiers 1

IdentifierTypeStateIssuer
000705266MedicaidPA

National Provider Directory

National Provider Directory

Locations

1709 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 968-1900

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1740334812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471010",
            "telephone_number": "215-986-1900",
            "fax_number": "215-968-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471010",
            "telephone_number": "215-986-1900",
            "fax_number": "215-968-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SQUARE FAMILY MEDICINE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "BIERMAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-968-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S003880L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000705266",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.