Organization Active NPI

Barden Thorwarth Daughtridge LTD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1972597565
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BARDEN THORWARTH DAUGHTRIDGE LTD
Practice address
8835 Germantown Ave
Philadelphia, PA 19118-2718
Phone
(215) 248-8200
Fax
(215) 248-8715
NPI assigned
Sep 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Dr. Trey Kamplain, M.D.NPI 1053305680
Title
President
Phone
(646) 220-9074

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X PA Primary

Addresses

Primary practice location

8835 Germantown Ave
Philadelphia, PA 19118-2718

Mailing address

PO Box 11268
Lancaster, PA 17605-1268
Phone (585) 472-4436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA, DC, NJ, HI, VA, MN, TX, IL, MD, UT, MA, FL, NV, AZ, PR, WI, OR, KY19 enrollments

Enrollment records 19

Enrollment IDStateProvider typePAC IDDetails
O20040318001406 PA Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 12 practitioners
Practice locations: Blue Bell, PA; Girard, PA; Philadelphia, PA
O20211129002326 CA Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 8 practitioners
Practice locations: San Luis Obispo, CA; San Diego, CA; Sacramento, CA; Roseville, CA; Mission Viejo, CA; Pasadena, CA; Cupertino, CA; Danville, CA
O20211216000093 DC Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, VA
O20211217000102 NJ Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 2 practitioners
Practice locations: Jersey City, NJ; Tinton Falls, NJ
O20220103000790 HI Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI; Kailua, HI; Kaneohe, HI
O20220103001661 VA Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 3 practitioners
Practice locations: Ashburn, VA; Chesapeake, VA; Hillsboro, VA
O20220107001236 MN Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 2 practitioners
Practice locations: Plymouth, MN; Edina, MN
O20220221000471 TX Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 6 practitioners
Practice locations: San Antonio, TX; Plano, TX; Houston, TX; Dallas, TX; Austin, TX
O20220301001345 IL Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, IL
O20220303000298 MD Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 1 practitioner
Practice locations: Pikesville, MD
O20220307001455 UT Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT
O20220310002479 MA Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 1 practitioner
Practice locations: Acton, MA
O20230315002257 FL Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 2 practitioners
Practice locations: North Miami, FL; Oviedo, FL
O20230406002604 NV Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20230414000270 AZ Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ; Tucson, AZ
O20230417000000 PR Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20231023002437 WI Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI
O20240126001612 OR Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 1 practitioner
Practice locations: Newberg, OR
O20240919002638 KY Part B Supplier - Clinic/Group Practice 6507756848 Receives reassigned benefits from 1 practitioner
Practice locations: Crestwood, KY

National Provider Directory

National Provider Directory

Locations

1777 Sentry Pkwy W
Bldg 17
Blue Bell, PA 19422

1777 Sentry Pkwy W
Ste 110
Blue Bell, PA 19422
Phone (215) 619-7710

8811 Germantown Ave
#4
Philadelphia, PA 19118

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1972597565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11268",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176051268",
            "telephone_number": "585-472-4436",
            "fax_number": "614-210-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182718",
            "telephone_number": "215-248-8200",
            "fax_number": "215-248-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDEN THORWARTH DAUGHTRIDGE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "KAMPLAIN",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-220-9074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.