Provider Demographics
NPI:1326083247
Name:DAVID A. PRAGER, MD, PC
Entity Type:Organization
Organization Name:DAVID A. PRAGER, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-867-7134
Mailing Address - Street 1:2851 BAGLYOS CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8033
Mailing Address - Country:US
Mailing Address - Phone:610-867-7134
Mailing Address - Fax:610-867-7108
Practice Address - Street 1:2851 BAGLYOS CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8033
Practice Address - Country:US
Practice Address - Phone:610-867-7134
Practice Address - Fax:610-867-7108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1326083247OtherNPI
PA03212200OtherCAPITAL BLUE CROSS
PA0992024OtherKEYSTONE HP CENTRAL
PA0992024OtherKEYSTONE SENIOR BLUE
PAG1160810OtherOXFORD LIBERTY & FREEDOM
PA1397834OtherHIGHMARK BLUE SHIELD
PACK6641OtherRAIL ROAD MEDICARE
PA061021Medicare ID - Type Unspecified