INTERNAL MEDICINE OF BERWICK PC INC
NPI 1265474670
Internal Medicine in Berwick, PA

Active since June 11, 2006CLIA 39D0975175 · Waiver
751 E 16TH ST, SUITE300, BERWICK, PA 18603(570) 752-5056 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Internal Medicine Of Berwick Pc Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERNAL MEDICINE OF BERWICK PC INC (NPI 1265474670) is a healthcare organization registered as an internal medicine in Berwick, Pennsylvania and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Pavel Pribula, Owner, as its authorized official.

NPPES Registry Identity

NPI1265474670
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE OF BERWICK PC INC
Location Address751 E 16TH ST, SUITE300Berwick, PA 18603-2321
Mailing Address751 E 16th St, Suite300Berwick, PA 18603-2321 · (570) 752-5056
Organization SubpartNo
Authorized OfficialPavel PribulaOwner · (570) 752-5056
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 12, 2013
NPI 1265474670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD067594L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
751 E 16TH ST, Berwick, PA 18603

Other Identifiers 8

Medicaid0075190570002PA
Medicare UPING91545PA
Other1348169PA · Highmark Blue Shield
Medicare PIN077794PA
Other010093500PA · Black Lung
Other02305400PA · Capital Blue Cross
Other1533376PA · Gateway
Other221084PA · First Priority Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0975175

Internal Medicine Of Berwick PC Inc · Berwick, PA
Active · expires Jun 28, 2028
CLIA Number39D0975175
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorPavel Pribula MD
Laboratory Phone(570) 752-5056
Laboratory LocationInternal Medicine Of Berwick PC Inc751 East 16th Street Suite 300, Berwick, PA 18603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
751 E 16TH ST, SUITE 300
BERWICK, PA 18603
Internal Medicine (Cardiovascular Disease)
751 E 16TH ST, SUITE 200
BERWICK, PA 18603
Internal Medicine
751 E 16TH ST, SUITE 400
BERWICK, PA 18603
Family Medicine
751 E 16TH ST, SUITE 400
BERWICK, PA 18603
Clinic/Center
751 E 16TH ST
BERWICK, PA 18603
Internal Medicine (Cardiovascular Disease)
751 E 16TH ST, SUITE 200
BERWICK, PA 18603
Clinic/Center (Primary Care)
751 E 16TH ST
BERWICK, PA 18603
Obstetrics & Gynecology
751 E 16TH ST, SUITE 100
BERWICK, PA 18603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Internal Medicine Of Berwick PC Inc's NPI number?

The NPI number for Internal Medicine Of Berwick PC Inc is 1265474670. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Internal Medicine Of Berwick PC Inc located?

Internal Medicine Of Berwick PC Inc is located at 751 E 16th St Suite300, Berwick, PA 18603. The listed phone number is (570) 752-5056.

What is Internal Medicine Of Berwick PC Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Internal Medicine Of Berwick PC Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0975175) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Internal Medicine Of Berwick PC Inc was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.