Active NPI
Brian D Graham
- Counselor
- Bethlehem, PA
National Provider Identifier
1821446188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3400 Bath Pike
Park Plaza, Suite 208
Bethlehem, PA 18017-2466 - Phone
- (610) 644-6464
- Fax
- (610) 981-6078
- NPI assigned
- May 27, 2016
- Last updated
- May 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3400 Bath Pike
Park Plaza, Suite 208
Bethlehem, PA 18017-2466
Mailing address
680 American Ave
Suite 302
King of Prussia, PA 19406-4023
Phone (610) 644-6464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Management Inc | Counselor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1821446188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 AMERICAN AVE",
"address_2": "SUITE 302",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064023",
"telephone_number": "610-644-6464",
"fax_number": "610-981-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BATH PIKE",
"address_2": "PARK PLAZA, SUITE 208",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180172466",
"telephone_number": "610-644-6464",
"fax_number": "610-981-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "BRIAN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.