NPIMap

Individual provider Active NPI

Brice Richard Ambron, PA-C

  • Surgical Physician Assistant
  • Palmer Township, PA
National Provider Identifier
1992136154
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA056568 Issued in PA
Practice address
3701 Corriere Rd Ste 26
Palmer Township, PA 18045-7991
Phone
(484) 591-7150
Fax
(484) 591-7151
NPI assigned
Dec 12, 2013
Last updated
Nov 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X MA056568 PA Primary

Addresses

Primary practice location

3701 Corriere Rd Ste 26
Palmer Township, PA 18045-7991

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

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
I20140630000347 PA Practitioner - Physician Assistant 4082839428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355

1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1245 S Cedar Crest Blvd
201 LVPG Obstetrics and Gynecology
Allentown, PA 18103-6258
Phone (610) 402-4870

1627 Chew St
Allentown, PA 18102-3648
Phone (610) 969-2226

1627 W Chew St 3Rd FL
LVPG Mental Health Clinic 17TH St
Allentown, PA 18102-3648
Phone (610) 402-1155

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2016 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Mar 29, 2014 Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 29, 2014 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2016 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1210 S Cedar Crest Blvd
Ste 3300
Allentown, PA 18103
Phone (610) 402-8506

1245 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103

3131 College Heights Blvd
Ste 2200
Allentown, PA 18104
Phone (610) 433-8615

325 N 5th St
Allentown, PA 18102
Phone (610) 433-3143

3100 Emrick Blvd
Ste 250
Bethlehem, PA 18020

701 Ostrum St
Ste 201
Fountain Hill, PA 18015
Phone (610) 868-1014

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

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

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: bambron140276@direct2.lvhn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1992136154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CORRIERE RD STE 26",
            "city": "PALMER TOWNSHIP",
            "state": "PA",
            "postal_code": "180457991",
            "telephone_number": "484-591-7150",
            "fax_number": "484-591-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBRON",
        "first_name": "BRICE",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA056568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer Township, PA

Sources for this page

Verify at the official NPI Registry.