NPIMap

Individual provider Active NPI

Carrie Lynn Elizabeth Bender, D.O.

  • Family Medicine Physician
  • Blue Bell, PA
National Provider Identifier
1932339017
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015692 Issued in PA
Practice address
721 Arbor Way Ste 105
Blue Bell, PA 19422-1974
Phone
(215) 646-9220
Fax
(215) 646-0715
NPI assigned
Jul 22, 2009
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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 OS015692 PA Primary

Addresses

Primary practice location

721 Arbor Way Ste 105
Blue Bell, PA 19422-1974

Mailing address

1 W Elm St
Ste 100
Conshohocken, PA 19428-4108
Phone (610) 567-5387

Other names 1

  • Dr. Carrie Lynn Elizabeth Eckenrode Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000908 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2769657014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

605 N Bethlehem Pike
Ambler, PA 19002-2501
Phone (215) 646-9220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Acute Care Physicians, PC CurrentSince Oct 1, 2019 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Oct 1, 2019 Accepting new patients
Jefferson Acute Care Physicians, PC Current Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

721 Arbor Way
Ste 105
Blue Bell, PA 19422
Phone (215) 646-9220

1820 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 836-1354

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

2603 Easton Rd
Willow Grove, PA 19090
Phone (215) 481-2173

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1932339017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "address_2": "STE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-5387",
            "fax_number": "610-567-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 ARBOR WAY STE 105",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221974",
            "telephone_number": "215-646-9220",
            "fax_number": "215-646-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "CARRIE LYNN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE LYNN",
            "last_name": "ECKENRODE",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.