Individual provider Active NPI

Thomas J Bader, MD

  • Obstetrics & Gynecology Physician
  • Upland, PA
National Provider Identifier
1831114818
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD045194L Issued in PA
Practice address
One Medical Center Blvd
Acp #334
Upland, PA 19013-3902
Phone
(610) 872-7660
Fax
(610) 876-2628
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD045194L PA Primary

Addresses

Primary practice location

One Medical Center Blvd
Acp #334
Upland, PA 19013-3902

Mailing address

1350 Edgmont Ave
Ste 1500
Chester, PA 19013-3962
Phone (610) 872-7660

Other identifiers 1

IdentifierTypeStateIssuer
001405362MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000526 PA Practitioner - Obstetrics/Gynecology 7719160167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. Obstetrics & Gynecology CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

1 Medical Center Blvd
Ste 334
Chester, PA 19013
Phone (610) 872-7660

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
#334
Chester, PA 19013
Phone (610) 872-7660

200 E State St
Ste 106
Media, PA 19063
Phone (610) 480-5176

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

196 W Sproul Rd
Ste 208
Springfield, PA 19064
Phone (302) 477-9660

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1831114818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 EDGMONT AVE",
            "address_2": "STE 1500",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133962",
            "telephone_number": "610-872-7660",
            "fax_number": "610-876-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "address_2": "ACP #334",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-872-7660",
            "fax_number": "610-876-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD045194L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001405362",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

Verify at the official NPI Registry.