Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bangor Medical Center Inc PC

Organization Family Medicine Physician · NPI 1134299068

Bangor Medical Center Inc PC provides Family Medicine Physician services 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

Other providers in Bangor