Unknown Individual – Internal Medicine Physician, NPI 1689625675

Unknown Individual is a healthcare provider. based in Bristol, Pennsylvania. specializing in Internal Medicine Physician. They hold a License No. MD018494E (PA). The NPI Number for Unknown Individual is 1689625675

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689625675
Phone
(215) 785-9601
Address
501 BATH RD
Deactivation Date
6 January 2023

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2155041155
Graduation Year
1975 (51 years ago)
PAC ID
1951589050
Group Practice PAC ID
5496739831
Professional Enrollment ID
I20110620000378
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Lower Bucks Hospital, 501, Bath Road, Bath Addition, Bristol Township, Bucks County, Pennsylvania, 19007, United States

    SUITE 203

    BRISTOL, PA 190073101

    Phone: (215) 785-9601

    Fax: (215) 785-9721

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496739831View full group profile
NameSpecialtyState
Nurse PractitionerPA
Internal MedicinePA
Nurse PractitionerPA
Internal Medicine, Geriatric MedicinePA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1689625675 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Bristol, Pennsylvania for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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