Individual provider Active NPI

Bradford J Lin, M.D.

  • Interventional Cardiology Physician
  • Meadowbrook, PA
National Provider Identifier
1942258546
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD-037395-E Issued in PA
Practice address
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone
(215) 938-2749
Fax
(215) 938-3829
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD037395E PA
Interventional Cardiology Physician 207RI0011X MD-037395-E PA Primary

Addresses

Primary practice location

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001

Mailing address

12265 Townsend Rd
Philadelphia, PA 19154-1201
Phone (215) 856-1010

Other identifiers 4

IdentifierTypeStateIssuer
14637960101MedicaidPA
597586OtherPAMEDICARE TPI GROUP
CD4829OtherPARAILROAD MEDICARE TPI GROUP
1007278000OtherPAMEDICAID TPI GROUP

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
I20120305000450 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Hospitalist 4082644257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Hospitalist
Education
Hahnemann University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 947-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037395EPAMDCardiovascular Disease Physician
MD-037395-EPAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Jun 20, 2015 Accepting new patients
HR Physician Services Past Accepting new patients

Locations

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Ofc First
Meadowbrook, PA 19046
Phone (215) 938-3450

Organizations & group practices 2

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 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1942258546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 TOWNSEND RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541201",
            "telephone_number": "215-856-1010",
            "fax_number": "215-698-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-2749",
            "fax_number": "215-938-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "BRADFORD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD037395E",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD-037395-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14637960101",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TPI GROUP",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE TPI GROUP",
            "identifier": "CD4829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPI GROUP",
            "identifier": "1007278000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.