Organization Active NPI

Berks Family Physicians, P.C.

  • Family Medicine Physician
  • Blandon, PA
National Provider Identifier
1942265376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BERKS FAMILY PHYSICIANS, P.C.
Practice address
11 Ingot Dr
Blandon, PA 19510-9639
Phone
(610) 944-8818
Fax
(610) 944-7329
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chris Eshbach
Title
Office Manager
Phone
(610) 944-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X PA Primary

Addresses

Primary practice location

11 Ingot Dr
Blandon, PA 19510-9639

Mailing address

11 Ingot Dr
Blandon, PA 19510-9639
Phone (610) 944-8818

Other identifiers 3

IdentifierTypeStateIssuer
1617077OtherPABLUE SHIELD
2301207001OtherPAKEYSTONE HEALTH PLAN EAST
50038079OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942265376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 INGOT DR",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109639",
            "telephone_number": "610-944-8818",
            "fax_number": "610-944-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 INGOT DR",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109639",
            "telephone_number": "610-944-8818",
            "fax_number": "610-944-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS FAMILY PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESHBACH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-944-8818"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1617077",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2301207001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50038079",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blandon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.