Healthcare Provider Details

I. General information

NPI: 1548509839
Provider Name (Legal Business Name): BMC PRIMARY CARE PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N OXFORD VALLEY RD
FAIRLESS HILLS PA
19030-2624
US

IV. Provider business mailing address

501 BATH RD
BRISTOL PA
19007-3101
US

V. Phone/Fax

Practice location:
  • Phone: 215-946-1500
  • Fax: 215-946-3417
Mailing address:
  • Phone: 215-785-9785
  • Fax: 215-785-9039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHY SMITH
Title or Position: FINANCIAL ANALYST
Credential:
Phone: 215-785-9785