Organization Active NPI

Bruce S Morrison DO PC

  • Sports Medicine (Family Medicine) Physician
  • Huntingdon Valley, PA
National Provider Identifier
1801904057
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS004259L Issued in PA
Legal business name
BRUCE S MORRISON DO PC
Practice address
1800 Byberry Rd
Mason Mills Park II Suite 703
Huntingdon Valley, PA 19006-3518
Phone
(215) 947-9131
Fax
(215) 947-7194
NPI assigned
Aug 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Bruce S Morrison, D.ONPI 1255449476
Title
Owner
Phone
(215) 947-9131

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
Sports Medicine (Family Medicine) Physician 207QS0010X OS004259L PA Primary

Addresses

Primary practice location

1800 Byberry Rd
Mason Mills Park II Suite 703
Huntingdon Valley, PA 19006-3518

Mailing address

1800 Byberry Rd
Mason Mills Park II Suite 703
Huntingdon Valley, PA 19006-3518
Phone (215) 947-9131

Other identifiers 2

IdentifierTypeStateIssuer
0421883001OtherPAINDEPENDENCE BLUE CROSS
599477OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000882 PA Part B Supplier - Clinic/Group Practice 7810975083 Receives reassigned benefits from 1 practitioner
Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDDEBA

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801904057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "MASON MILLS PARK II SUITE 703",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-947-9131",
            "fax_number": "215-947-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD",
            "address_2": "MASON MILLS PARK II SUITE 703",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063518",
            "telephone_number": "215-947-9131",
            "fax_number": "215-947-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE S MORRISON DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-947-9131",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS004259L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0421883001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "599477",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, 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.
  • 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.