Organization Active NPI

Geoffrey Bryant Monsour

  • Family Medicine Physician
  • Greensburg, PA
National Provider Identifier
1952516890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD032615E Issued in PA
Legal business name
GEOFFREY BRYANT MONSOUR
Practice address
1500 Broad St
Greensburg, PA 15601-5469
Phone
(724) 834-6410
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Geoffrey Bryant Monsour, MDNPI 1285692863
Title
Owner
Phone
(724) 834-6410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD032615E PA Primary

Addresses

Primary practice location

1500 Broad St
Greensburg, PA 15601-5469

Mailing address

1500 Broad St
Greensburg, PA 15601-5469
Phone (724) 834-6410

Other identifiers 2

IdentifierTypeStateIssuer
0010714730003MedicaidPA
1633703OtherPABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090814000249 PA Part B Supplier - Clinic/Group Practice 7012061716 Receives reassigned benefits from 1 practitioner
Practice locations: Irwin, PA

National Provider Directory

National Provider Directory

Locations

1500 Broad St
Greensburg, PA 15601
Phone (412) 834-6410

28 Fairwood Dr
Irwin, PA 15642
Phone (724) 834-6410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952516890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BROAD ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015469",
            "telephone_number": "724-834-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BROAD ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015469",
            "telephone_number": "724-834-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY BRYANT MONSOUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONSOUR",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-834-6410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD032615E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010714730003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1633703",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.