Provider Demographics
NPI:1336168483
Name:BLOOMSBURG EMERGENCY PHYSICIANS, LLC
Entity type:Organization
Organization Name:BLOOMSBURG EMERGENCY PHYSICIANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:NARMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACP
Authorized Official - Phone:570-387-2115
Mailing Address - Street 1:PO BOX 58129
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73157-8129
Mailing Address - Country:US
Mailing Address - Phone:866-488-4558
Mailing Address - Fax:405-607-1326
Practice Address - Street 1:549 E FAIR ST
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815
Practice Address - Country:US
Practice Address - Phone:570-387-2115
Practice Address - Fax:405-607-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABL1387397OtherBLUE SHIELD
PA50004086OtherCAPITAL BLUE CROSS
PA0019049160002Medicaid
PA0019049160002Medicaid
PA50004086OtherCAPITAL BLUE CROSS