NPIMap

Individual provider Active NPI

Brenton Taggart

  • Emergency Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1942562442
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD452366 Issued in PA
Practice address
801 Ostrum St
Department of Emergency Medicine
Bethlehem, PA 18015-1000
Phone
(484) 526-4903
NPI assigned
Jun 11, 2012
Last updated
May 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD452366 PA Primary

Addresses

Primary practice location

801 Ostrum St
Department of Emergency Medicine
Bethlehem, PA 18015-1000

Mailing address

801 Ostrum St
Department of Emergency Medicine
Bethlehem, PA 18015-1000
Phone (484) 526-4903

Other identifiers 2

IdentifierTypeStateIssuer
3076215OtherPAHIGHMARK BLUE SHIELD
102951717MedicaidPA

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
I20140826002717 PA Practitioner - Emergency Medicine 3173741550 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD452366PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital Emergency Medicine Current Accepting new patients
St Luke's Hospital CurrentSince Jul 1, 2014 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Emergency Medicine CurrentSince Oct 31, 2016 Accepting new patients
St. Luke's Hosptial Emergency Medicine Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2014 Accepting new patients
St. Luke's Hospital Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Emergency Medicine CurrentSince Oct 31, 2016 Accepting new patients
St. Luke's Hospital - Anderson Campus CurrentSince Jul 19, 2014 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Jul 19, 2014 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jul 1, 2014 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Emergency Medicine Current Accepting new patients
St. Luke's Quakertown Hospital Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
St. Luke's Quakertown Hospital Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
St. Luke's Quakertown Hospital Current Accepting new patients

Locations

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

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

575 S 9th St
Ste 7
Lehighton, PA 18235
Phone (570) 645-1000

2092 W Penn Pike
New Ringgold, PA 17960
Phone (272) 639-5370

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: brenton.taggart@slpg.direct-sluhn.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1942562442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "BRENTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD452366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "3076215",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102951717",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.