Provider Demographics
NPI:1386727261
Name:MCBRIDE, JAMES GEORGE (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:GEORGE
Last Name:MCBRIDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2061 FAIRVIEW AVE
Mailing Address - Street 2:SUITE 2 FAIRVIEW MEDICAL BUILDING
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3916
Mailing Address - Country:US
Mailing Address - Phone:610-252-8162
Mailing Address - Fax:610-252-4013
Practice Address - Street 1:2061 FAIRVIEW AVE
Practice Address - Street 2:FAIRVIEW MEDICAL BUILDING
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3916
Practice Address - Country:US
Practice Address - Phone:610-252-8162
Practice Address - Fax:610-252-4013
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD013453E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
129887OtherHIGHMARK
18042A001OtherTRICARE FOR LIFE
2320331460OtherHORIZON BCBS NJ
23203314610000OtherNATIONAL BENEFIT ADMINIST
P2912426OtherOXFORD HEALTH
2320331460002OtherCIGNA
20015144OtherAMERIHEALTH MERCY
232033146001OtherMEDICAL MUTUAL
PA00648123Medicaid
0129887OtherKEYSTONE SENIOR BLUE
129887OtherHIGHMARK
2320331460002OtherCIGNA