Organization Active NPI

Martha Bardsley MD LLC

  • Pediatric Endocrinology Physician
  • Narberth, PA
National Provider Identifier
1770063026
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
MD426055 Issued in PA
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

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Martha Bardsley, MDNPI 1689759771
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)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
101331486MedicaidPA

Other names 1

  • Bardsley Pediatric Endocrinology Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2160997Martha Bardsley MD LLC822 Montgomery Avenue, Suite 205, Narberth, PA 19072Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.