Brice Richard Ambron, PA-C
Individual provider Active NPI Surgical Physician Assistant · Palmer Township, PA
NPI 1992136154 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1992136154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- MA056568 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 11
Medicare Care Compare profile
- 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 Group
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
- Lehigh Valley Hospital
- Lehigh Valley Hospital - Pocono
- Lehigh Valley Hospital - Macungie
- Schuylkill Medical Center - South Jackson Street
- Lehigh Valley Hospital - Hazleton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140630000347 | PA | Practitioner - Physician Assistant | 4082839428 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| St Luke'S Physician Group Inc | Current |
Accepting new patients | |
| St. Luke'S Physician Group, Inc | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Physician Assistant | Past | Accepting new patients |
| Lehigh Valley Physician Group | Past | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
3131 College Heights Blvd
Ste 2200
Allentown, PA 18104
Phone (610) 433-8615
1245 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
1210 S Cedar Crest Blvd
Ste 3300
Allentown, PA 18103
Phone (610) 402-8506
325 N 5th St
Allentown, PA 18102
Phone (610) 433-3143
3100 Emrick Blvd
Ste 250
Bethlehem, PA 18020
701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400
701 Ostrum St
Ste 201
Fountain Hill, PA 18015
Phone (610) 868-1014
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
- bambron140276@direct2.lvhn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | MA056568 | PA | Yes |
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
Other providers in Palmer Township, PA
- Jessica Alexis Okomura Bernal
- Dylan Bryce Corriere
- Edward T Davis
- Robert Ealey
- Christopher Martinez Gross
All providers in Palmer Township, PA · Surgical Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.