Individual provider Active NPI

Gerald M. Patton, M.D.

  • Vascular Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1760442826
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD042087E Issued in PA
Practice address
830 Old Lancaster Rd
Suite 101
Bryn Mawr, PA 19010-3118
Phone
(610) 527-1185
Fax
(610) 527-8759
NPI assigned
Mar 24, 2006
Last updated
Dec 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD042087E PA Primary

Addresses

Primary practice location

830 Old Lancaster Rd
Suite 101
Bryn Mawr, PA 19010-3118

Mailing address

830 Old Lancaster Rd
Suite 101
Bryn Mawr, PA 19010-3118
Phone (610) 527-1185

Other identifiers 1

IdentifierTypeStateIssuer
0015896530002MedicaidPA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000426 PA Practitioner - Vascular Surgery 7911004916 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042087EPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgical Specialists PLLC Vascular Surgery CurrentSince Sep 7, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jun 1, 2023 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 101
Bryn Mawr, PA 19010
Phone (610) 527-1185

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 220
Chester, PA 19013
Phone (610) 394-1889

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1450 E Boot Rd
Ste 600B
West Chester, PA 19380
Phone (610) 692-6787

1450 E Boot Rd
Ste 700A
West Chester, PA 19380
Phone (610) 430-8272

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1760442826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OLD LANCASTER RD",
            "address_2": "SUITE 101",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103118",
            "telephone_number": "610-527-1185",
            "fax_number": "610-527-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OLD LANCASTER RD",
            "address_2": "SUITE 101",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103118",
            "telephone_number": "610-527-1185",
            "fax_number": "610-527-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "GERALD",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD042087E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015896530002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.