Mark Kenny Radbill, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS002663L Issued in PA

Practice address

2426 Bristol Rd
Neshaminy Valley Commons
Bensalem, PA 19020

Phone

(215) 757-1533

Fax

(215) 752-2402

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Neshaminy Medical PC

  • Family Medicine Physician
  • Bensalem, PA
  • NPI 1790881001
  NPD (past) Authorized official

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1811952260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 BRISTOL RD",
            "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 RD",
            "address_2": "NESHAMINY VALLEY COMMONS",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "215-757-1533",
            "fax_number": "215-752-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADBILL",
        "first_name": "MARK",
        "middle_name": "KENNY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS002663L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05002663L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOA",
            "identifier": "028810",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prohealth Clinic
• Promed Supplies
• Pure Heart Community Services Inc
• Quality Care Health Services LLC
• Matthew Quinn, CRS; CPS
• Radhakrishna Kalakuntla, MD, PC
• Sheeba Rahat, FNP-C
• Steven Mark Raikin, M.D.
• Reena Raju
• Julia Rasch, CNM

• Family Medicine Physician in Bensalem, PA
• Providers in Bensalem, 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 Jul 6, 2011; 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.