Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carrie Michael Bubenzer, PA-C

Individual provider Physician Assistant · NPI 1205186152

Carrie Michael Bubenzer, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in Louisiana. Registered with an NPI since 2012.

Licensed in
LA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 8500 LOCKBOX 7642
Philadelphia, PA 19178-5682
Phone: (318) 226-3300
Fax: (318) 424-7610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 200579 (LA)

Record details

NPI number1205186152
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2012
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024

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