Individual provider Active NPI

Eddy Armin Bresnitz, MD

  • Pulmonary Disease Physician
  • Bala Cynwyd, PA
National Provider Identifier
1750090189
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD-024685-E Issued in PA
Practice address
123 Grasmere Rd
Bala Cynwyd, PA 19004-2906
Phone
(610) 213-7325
NPI assigned
Nov 15, 2022
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD-024685-E PA Primary

Addresses

Primary practice location

123 Grasmere Rd
Bala Cynwyd, PA 19004-2906

Mailing address

123 Grasmere Rd
Bala Cynwyd, PA 19004-2906
Phone (610) 213-7325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-024685-EPAMDPulmonary Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1750090189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GRASMERE RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042906",
            "telephone_number": "610-213-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GRASMERE RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042906",
            "telephone_number": "610-213-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESNITZ",
        "first_name": "EDDY",
        "middle_name": "ARMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD-024685-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.