Brian Joseph Bansidhar, D.O.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

OS-010801L Issued in PA

Practice address

4125 W Ridge Rd
Erie, PA 16506-1763

Phone

(814) 833-1119

Fax

(814) 833-1138

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Colorectal Surgery (Proctology)

Education

Western University of Health Sciences College of Dental Med, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
• Meadville Medical Center Hospital, Meadville, PA, CCN 390113
• Upmc Hamot Hospital, Erie, PA, CCN 390063
• Upmc Northwest Hospital, Seneca, PA, CCN 390091

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFGEBA/Endpoint/DFGEBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Presque Isle Colon and Rectal Surgery

  • Colon & Rectal Surgery Physician
  • Erie, PA
  • NPI 1598047508
  Medicare reassignment NPD Authorized official

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

• Meadville Medical Center

  • General Acute Care Hospital
  • Meadville, PA
  • NPI 1942276423
  Care Compare affiliation
• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  Care Compare affiliation
• Upmc Hamot

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1487647590
  Care Compare affiliation
• Upmc Hamot

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1538207394
  Care Compare affiliation
• Upmc Northwest

  • Psychiatric Hospital Unit
  • Seneca, PA
  • NPI 1013090745
  Care Compare affiliation
• Upmc Northwest

  • General Acute Care Hospital
  • Seneca, PA
  • NPI 1619069440
  Care Compare affiliation
• Upmc Northwest

  • Ambulatory Surgical Clinic/Center
  • Seneca, PA
  • NPI 1922174747

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1992891220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 W RIDGE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061763",
            "telephone_number": "814-833-1119",
            "fax_number": "814-833-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 W RIDGE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061763",
            "telephone_number": "814-833-1119",
            "fax_number": "814-833-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSIDHAR",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "OS-010801L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jesse Bambino, DO
• Jennifer Rose Banak, LCSW
• Kelsey Ann Baney, M.S., CCC-SLP
• Craig Baniszewski, D.C.
• Caley Banko
• Timothy Baptist
• Ranko Barac, DO
• Adnan Barazi, MD
• Ahmed Barazi, MD
• Jessica L Barbato, MSN, CRNA

• Colon & Rectal Surgery Physician in Erie, PA
• Providers in Erie, PA by specialty
• Colon & Rectal Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.