BMAX PENNSYLVANIA LLC NPI 1548785801

NPI Information

  • NPI: 1548785801
  • Provider Name: BMAX PENNSYLVANIA LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: RENEWED VITALITY
  • Address: 560 VAN REED RD
    WYOMISSING, PA
    ZIP 19610
  • Phone: (484) 516-2937

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NPI Details

BMAX PENNSYLVANIA LLC is an obstetrics gynecology in Wyomissing, PA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BMAX PENNSYLVANIA LLC NPI is 1548785801. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Renewed Vitality.

The provider's business location address is:

560 VAN REED RD
WYOMISSING, PA
ZIP 19610-799
Phone: (484) 516-2937
Fax: (484) 930-0229

The provider's authorized official is Gregory C Bolton .
The authorized official title is Md/owner and has the following contact phone number (484) 516-2937.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 7/21/2022.

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
1363LX0001XNurse PractitionerObstetrics & GynecologyNo
2207V00000XObstetrics & GynecologyYes

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: 11/21/2025

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