Individual provider Active NPI

Herbert Secouler, D.O.

  • Family Medicine Physician
  • Southampton, PA
National Provider Identifier
1851371652
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003453L Issued in PA
Practice address
501 Street Rd
Suite 100
Southampton, PA 18966-3746
Phone
(215) 322-6060
Fax
(215) 322-6099
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003453L PA Primary

Addresses

Primary practice location

501 Street Rd
Suite 100
Southampton, PA 18966-3746

Mailing address

501 Street Rd
Suite100
Southampton, PA 18966-3746
Phone (215) 322-6060

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
I20050120000055 PA Practitioner - Family Practice 2769431436 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 1, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 1, 2016 Accepting new patients

Locations

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

501 Street Rd
Ste 100
Southampton, PA 18966
Phone (215) 322-2213

Organizations & group practices 3

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1851371652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STREET RD",
            "address_2": "SUITE100",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663746",
            "telephone_number": "215-322-6060",
            "fax_number": "215-322-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STREET RD",
            "address_2": "SUITE 100",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663746",
            "telephone_number": "215-322-6060",
            "fax_number": "215-322-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOULER",
        "first_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003453L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.