Provider Demographics
NPI:1831214600
Name:NEUROLOGY OF BETHLEHEM, P.C.
Entity type:Organization
Organization Name:NEUROLOGY OF BETHLEHEM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BECKHARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-867-5260
Mailing Address - Street 1:870 DORSET RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3331
Mailing Address - Country:US
Mailing Address - Phone:610-867-5260
Mailing Address - Fax:610-867-5295
Practice Address - Street 1:2045 WESTGATE DR STE 203
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:610-867-5260
Practice Address - Fax:610-867-5295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041974E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1953819OtherHIGHMARK BLUE SHIELD
PA03193400OtherCAPITAL BLUE CROSS
PAF45158Medicare UPIN
PA1953819OtherHIGHMARK BLUE SHIELD