Organization Active NPI

Jcbdpm P.L.L.C.

  • Podiatric Clinic/Center
  • Bensalem, PA
National Provider Identifier
1811463193
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
JCBDPM P.L.L.C.
Practice address
2404 Bristol Rd
Bensalem, PA 19020-6002
Phone
(215) 805-7484
NPI assigned
Oct 15, 2018
Last updated
Oct 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Jeanine C Brinkley, DPMNPI 1942473368
Title
Podiatrist
Phone
(215) 805-7484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

2404 Bristol Rd
Bensalem, PA 19020-6002

Mailing address

101 Lakeview Dr
New Hope, PA 18938-2233
Phone (215) 805-7484

Other practice location 1

3790 Morrell Ave
Philadelphia, PA 19114-1955
Phone (215) 637-4747

National Provider Directory

National Provider Directory

Locations

2442 Bristol Rd
Bensalem, PA 19020
Phone (215) 752-1881

3790 Morrell Ave
Philadelphia, PA 19114
Phone (215) 612-1450

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1811463193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKEVIEW DR",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189382233",
            "telephone_number": "215-805-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206002",
            "telephone_number": "215-805-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3790 Morrell Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141955",
            "country_code": "US",
            "telephone_number": "215-637-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JCBDPM P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "BRINKLEY",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "215-805-7484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 15, 2018; 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.