Pennsbury Medical Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003138L Issued in PA

Legal business name

PENNSBURY MEDICAL PRACTICE, P.C.

Practice address

201 Woolston Drive
Suite 1E
Morrisville, PA 19067

Phone

(215) 736-2508

Fax

(215) 736-0744

NPI assigned

Jul 18, 2006

Last updated

Apr 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David J Miller, D.O.NPI 1851305320

Title

Physician President

Phone

(215) 736-2508

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26274/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David J Miller, D.O.

  • Family Medicine Physician
  • Morrisville, PA
  • NPI 1851305320
  Medicare reassignment Authorized official
• Ginger Brounce, N.P.

  • Family Nurse Practitioner
  • Morrisville, PA
  • NPI 1013012665
  NPD
• Martha Bacsik, P.A.

  • Medical Physician Assistant
  • Morrisville, PA
  • NPI 1942305503
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1790703593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WOOLSTON DRIVE",
            "address_2": "SUITE 1E",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "19067",
            "telephone_number": "215-736-2508",
            "fax_number": "215-736-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WOOLSTON DRIVE",
            "address_2": "SUITE 1E",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "19067",
            "telephone_number": "215-736-2508",
            "fax_number": "215-736-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSBURY MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "215-736-2508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003138L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017998840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indu Sitaram Patel
• Priya Desai Patel, O.D.
• Hoang VI Payulert, CD
• PDP Vision, LLC
• Pearly Whites LLC
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #02568)
• Sheila Phillips
• Joseph E. Pinciotti Jr., D.O.
• Pulmonary Critical Care & Sleep Medicine Assoc PC
• Regional Orthopaedic Medicine Associates, P.C.

• Family Medicine Physician in Morrisville, PA
• Providers in Morrisville, 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 Apr 29, 2008; 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.