Individual provider Active NPI

Robert Scott Fournier, MD

  • Nuclear Radiology Physician
  • Bethlehem, PA
National Provider Identifier
1871532630
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
MD065813L Issued in PA
Practice address
425 Brighton St
#303
Bethlehem, PA 18015-1273
Phone
(610) 868-1100
Fax
(610) 868-1111
NPI assigned
Jun 6, 2006
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X MD065813L PA Primary

Addresses

Primary practice location

425 Brighton St
#303
Bethlehem, PA 18015-1273

Mailing address

425 Brighton St
#303
Bethlehem, PA 18015-1273
Phone (610) 868-1100

Other identifiers 1

IdentifierTypeStateIssuer
01745856MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050105000550 PA Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 2062409741 Reassigns benefits to 1 organization
I20140725001994 NJ Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 2062409741 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physician Assoc, Inc. Nuclear Radiology CurrentSince Sep 1, 2007 Accepting new patients
Progressive Physician Assoc Inc CurrentSince Sep 1, 2007 Accepting new patients
Bucks County Radiology Associates, PC Nuclear Radiology Past Accepting new patients
Progressive Physician Associates, Inc. Nuclear Radiology Past Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

95 Highland Ave
Ste 130
Bethlehem, PA 18017
Phone 61086811002

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

3735 Nazareth Rd
Ste 206
Easton, PA 18045

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

881 3rd St
Ste B5
Whitehall, PA 18052
Phone (610) 776-9440

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, 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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1871532630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BRIGHTON ST",
            "address_2": "#303",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151273",
            "telephone_number": "610-868-1100",
            "fax_number": "610-868-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BRIGHTON ST",
            "address_2": "#303",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151273",
            "telephone_number": "610-868-1100",
            "fax_number": "610-868-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": "MD065813L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01745856",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.