Organization Active NPI

Neshaminy Medical PC

  • Family Medicine Physician
  • Bensalem, PA
National Provider Identifier
1790881001
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NESHAMINY MEDICAL PC
Practice address
2426 Bristol Road
Neshaminy Valley Commons
Bensalem, PA 19020
Phone
(215) 757-1533
Fax
(215) 752-2402
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Kenny Radbill, DONPI 1811952260
Title
President
Phone
(215) 757-1533

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2426 Bristol Road
Neshaminy Valley Commons
Bensalem, PA 19020

Mailing address

2426 Bristol Road
Neshaminy Valley Commons
Bensalem, PA 19020
Phone (215) 757-1533

Other identifiers 1

IdentifierTypeStateIssuer
0651441MedicaidPA

Other names 1

  • Richboro Famiy Medical Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790881001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 BRISTOL ROAD",
            "address_2": "NESHAMINY VALLEY COMMONS",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "215-757-1533",
            "fax_number": "215-752-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 BRISTOL ROAD",
            "address_2": "NESHAMINY VALLEY COMMONS",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "215-757-1533",
            "fax_number": "215-752-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESHAMINY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADBILL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-757-1533",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0651441",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richboro Famiy Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.