Bruce S Bashline D.O. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S004607L Issued in PA

Legal business name

BRUCE S BASHLINE D.O. INC.

Practice address

1100 Spring Garden Drive
Middletown, PA 17057

Phone

(717) 985-9091

Fax

(717) 985-9094

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce S Bashline, D.O.NPI 1912015132

Title

Doctor

Phone

(717) 985-9091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Bruce Stewart Bashline, DO

  • Family Medicine Physician
  • Middletown, PA
  • NPI 1912015132
  Medicare reassignment NPD Authorized official
• Jody Lin Mrakovich, PA-C

  • Medical Physician Assistant
  • Middletown, PA
  • NPI 1952368342
  Medicare reassignment

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780711333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SPRING GARDEN DRIVE",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "17057",
            "telephone_number": "717-985-9091",
            "fax_number": "717-985-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SPRING GARDEN DRIVE",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "17057",
            "telephone_number": "717-985-9091",
            "fax_number": "717-985-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE S BASHLINE D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASHLINE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "717-985-9091",
        "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": "0S004607L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Benko Jr., D.M.D.
• Michael Anthony Benko Sr., D.M.D.
• Taylor Nichole Bland-Ball
• Susan Brennan
• Deena M Brown, DPT
• Lauren Bupp
• Mark D Burd, MD
• Marshall P Burnside, RPH
• Marissa Marie Burry, PHARM D.
• Amy T Byler, CRNP

• Family Medicine Physician in Middletown, PA
• Providers in Middletown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.