BLOOMSBURG PHYSICIANS SERVICES NPI 1285967208

NPI Information

NPI: 1285967208
Provider Name: BLOOMSBURG PHYSICIANS SERVICES

Doing Business As: BPS BENTON FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4469 RED ROCK RD
BENTON, PA
ZIP 17814
Phone: (570) 925-6424
Get Directions

BLOOMSBURG PHYSICIANS SERVICES is a family medicine in Benton, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLOOMSBURG PHYSICIANS SERVICES NPI is 1285967208. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bps Benton Family Practice.

The provider's business location address is:

4469 RED ROCK RD
BENTON, PA
ZIP 17814-606
Phone: (570) 925-6424

The provider's authorized official is Regis Cabonor .
The authorized official title is Ceo and has the following contact phone number (570) 387-2100.

The enumeration date for this NPI number is 9/9/2009 and was last updated on 9/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001811559	MEDICAID	PENNSYLVANIA
2	039145	MEDICARE PIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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