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

MS. Diana J. Whitebread, PA-C

Individual provider Physician Assistant · NPI 1871544528

MS. Diana J. Whitebread, PA-C is a Physician Assistant in Bloomsburg, Pennsylvania. Qualified in 1992, 34 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
34
Licensed in
PA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

240 Mall Blvd
Bloomsburg, PA 17815-8306
Phone: (570) 784-8303
Fax: (570) 387-5030
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA001661L (PA)

Record details

NPI number1871544528
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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