Provider Demographics
NPI:1730102781
Name:UPPER BUCKS ORTHOPAEDIC ASSOCIATION
Entity Type:Organization
Organization Name:UPPER BUCKS ORTHOPAEDIC ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUMGARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:215-257-3700
Mailing Address - Street 1:711 LAWN AVE
Mailing Address - Street 2:BUILDING 3
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960
Mailing Address - Country:US
Mailing Address - Phone:215-257-3700
Mailing Address - Fax:215-257-0360
Practice Address - Street 1:711 LAWN AVE
Practice Address - Street 2:BUILDING 3
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960
Practice Address - Country:US
Practice Address - Phone:215-257-3700
Practice Address - Fax:215-257-0360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006833380002Medicaid
PA0021804000OtherIBC
PA0006833380002Medicaid