Active NPI
Martha Bardsley MD LLC
- Pediatric Endocrinology Physician
- Narberth, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- MD426055
- Legal business name
- MARTHA BARDSLEY MD LLC
- Doing business as
- Bardsley Pediatric Endocrinology
- Practice address
- 822 Montgomery Ave
Suite 205
Narberth, PA 19072 - Phone
- (610) 601-3031
- NPI assigned
- Aug 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martha Bardsley, MD
- Title
- Owner
- Phone
- (610) 601-3031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | MD426055 | PA | Primary |
Addresses
Primary practice location
822 Montgomery Ave
Suite 205
Narberth, PA 19072
Mailing address
822 Montgomery Ave
Suite 205
Narberth, PA 19072
Phone (610) 601-3031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101331486 | Medicaid | PA |
Other names 1
- Bardsley Pediatric Endocrinology
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2160997 | Martha Bardsley MD LLC | Certificate of waiver | Jan 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
822 Montgomery Ave
Ste 205
Narberth, PA 19072
Phone (610) 601-3031
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Endocrinology Physician
- Narberth, PA
- NPI 1689759771
-
- Student in an Organized Health Care Education/Training Program
- Philadelphia, PA
- NPI 1649028739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590019200000",
"number": "1770063026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 MONTGOMERY AVE",
"address_2": "SUITE 205",
"city": "NARBERTH",
"state": "PA",
"postal_code": "19072",
"telephone_number": "610-601-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 MONTGOMERY AVE",
"address_2": "SUITE 205",
"city": "NARBERTH",
"state": "PA",
"postal_code": "19072",
"telephone_number": "610-601-3031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTHA BARDSLEY MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-16",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A",
"authorized_official_last_name": "BARDSLEY",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-601-3031",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "PA",
"license": "MD426055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101331486",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bardsley Pediatric Endocrinology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.