Active NPI
Bruce Douglas Weinstein, D.P.M.
- Podiatrist
- Catasauqua, PA
National Provider Identifier
1952511313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002918L
- Practice address
- 18 W Race St
Catasauqua, PA 18032-1992 - Phone
- (610) 264-2244
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002918L | PA | Primary |
Addresses
Primary practice location
18 W Race St
Catasauqua, PA 18032-1992
Mailing address
18 W Race St
Catasauqua, PA 18032-1992
Phone (610) 264-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041607 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002918L | PA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952511313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 W RACE ST",
"city": "CATASAUQUA",
"state": "PA",
"postal_code": "180321992",
"telephone_number": "610-264-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 W RACE ST",
"city": "CATASAUQUA",
"state": "PA",
"postal_code": "180321992",
"telephone_number": "610-264-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "BRUCE",
"middle_name": "DOUGLAS",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002918L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1041607",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Catasauqua, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.