JOSE DERR – NPI #1477758407
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JOSE DERR is a provider located in BERWICK, PA. NPPES has assigned the NPI number 1477758407 to JOSE DERR on June 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JOSE DERR” is a dba name, the actual legal business name for this organization is BLOOMSBURG PHYSICIANS SERVICES. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOSE DERR below.

NPI Profile for
BLOOMSBURG PHYSICIANS SERVICES

NPI Number
1477758407
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLOOMSBURG PHYSICIANS SERVICES
Doing Business As (dba): JOSE DERR
Primary location
101 WEST 9TH STREET
BERWICK, PA 18603
Phone: (570) 387-2166 Fax: (570) 387-2316
Mailing address
401 GLENN AVE
BLOOMSBURG, PA 17815-1419
Phone: (570) 759-2600 Fax: (570) 759-3229
Organization Subpart
No
Authorized Official
KRISTIN HOLLISTER
ASSISTANT PRACTICE MANAGER
Phone: (570) 387-2166
Updated
Identifiers

Identifiers for JOSE DERR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCBCPA50047313
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.