Individual provider Active NPI

Lawrence Paul Bressler, MD

  • Nephrology Physician
  • Ivyland, PA
National Provider Identifier
1790722973
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD026405E Issued in PA
Practice address
10 Breckenridge Dr
Ivyland, PA 18974-1275
Phone
(267) 879-0250
Fax
(215) 357-0643
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD026405E PA Primary

Addresses

Primary practice location

10 Breckenridge Dr
Ivyland, PA 18974-1275

Mailing address

PO Box 538
Levittown, PA 19058-0538
Phone (215) 741-3510

Other identifiers 1

IdentifierTypeStateIssuer
0015208920004MedicaidPA

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
I20221226000007 PA Order and Referring Only - NephrologyPractitioner - Nephrology 6608844998

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD026405EPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Renal Associates, LLC Nephrology PastSince Oct 10, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1790722973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190580538",
            "telephone_number": "215-741-3510",
            "fax_number": "215-741-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRECKENRIDGE DR",
            "city": "IVYLAND",
            "state": "PA",
            "postal_code": "189741275",
            "telephone_number": "267-879-0250",
            "fax_number": "215-357-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESSLER",
        "first_name": "LAWRENCE",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD026405E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015208920004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ivyland, PA

Sources for this page

Verify at the official NPI Registry.