Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bangor Medical Center Inc PC

Organization Family Medicine Physician · NPI 1134299068

Bangor Medical Center Inc PC is a Family Medicine Physician in Bangor, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

153 N 11th St
Bangor, PA 18013-1603
Phone: (610) 588-4502
Fax: (610) 588-6928
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (PA)

Record details

NPI number1134299068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Miller — Billing Manager · 61005887661
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 21, 2022
Mailing address153 N Eleventh St, Bangor, PA 18013

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