Healthcare Provider Details

I. General information

NPI: 1649106220
Provider Name (Legal Business Name): BERNARD F KING DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 BRINTON LAKE RD STE 100
GLEN MILLS PA
19342-1285
US

IV. Provider business mailing address

145 BRINTON LAKE RD STE 100
GLEN MILLS PA
19342-1285
US

V. Phone/Fax

Practice location:
  • Phone: 610-431-3000
  • Fax: 833-455-6713
Mailing address:
  • Phone: 610-431-3000
  • Fax: 833-455-6713

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: DR. BERNARD KING
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 610-431-3000