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  7. NPI Record 1518051036

DR. BRET T. SOBOTA M.D.
Complete NPI Record 1518051036
Otolaryngology in Hershey, PA


Quality Rating: 80.34 out of 100 score

NPI Status: Active since October 02, 2006

Contact Information

500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033
Phone: (717) 531-6822
Fax: (717) 531-4907

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Name Prefix Text
  7. Provider Credential Text
  8. Provider First Line Business Mailing Address
  9. Provider Business Mailing Address City Name
  10. Provider Business Mailing Address State Name
  11. Provider Business Mailing Address Postal Code
  12. Provider Business Mailing Address Country Code If outside U S
  13. Provider Business Mailing Address Telephone Number
  14. Provider Business Mailing Address Fax Number
  15. Provider First Line Business Practice Location Address
  16. Provider Business Practice Location Address City Name
  17. Provider Business Practice Location Address State Name
  18. Provider Business Practice Location Address Postal Code
  19. Provider Business Practice Location Address Country Code If outside U S
  20. Provider Business Practice Location Address Telephone Number
  21. Provider Business Practice Location Address Fax Number
  22. Provider Enumeration Date
  23. Last Update Date
  24. Provider Gender Code
  25. Healthcare Provider Taxonomy Code 1
  26. Provider License Number 1
  27. Provider License Number State Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Healthcare Provider Taxonomy Code 2
  30. Provider License Number 2
  31. Provider License Number State Code 2
  32. Healthcare Provider Primary Taxonomy Switch 2
  33. Healthcare Provider Taxonomy Code 3
  34. Provider License Number 3
  35. Provider License Number State Code 3
  36. Healthcare Provider Primary Taxonomy Switch 3
  37. Healthcare Provider Taxonomy Code 4
  38. Provider License Number 4
  39. Provider License Number State Code 4
  40. Healthcare Provider Primary Taxonomy Switch 4
  41. Healthcare Provider Taxonomy Code 5
  42. Provider License Number 5
  43. Provider License Number State Code 5
  44. Healthcare Provider Primary Taxonomy Switch 5
  45. Other Provider Identifier 1
  46. Other Provider Identifier Type Code 1
  47. Other Provider Identifier State 1
  48. Other Provider Identifier Issuer 1
  49. Other Provider Identifier 2
  50. Other Provider Identifier Type Code 2
  51. Other Provider Identifier State 2
  52. Other Provider Identifier Issuer 2
  53. Other Provider Identifier 3
  54. Other Provider Identifier Type Code 3
  55. Other Provider Identifier State 3
  56. Other Provider Identifier Issuer 3
  57. Other Provider Identifier 4
  58. Other Provider Identifier Type Code 4
  59. Other Provider Identifier State 4
  60. Other Provider Identifier Issuer 4
  61. Other Provider Identifier 5
  62. Other Provider Identifier Type Code 5
  63. Other Provider Identifier State 5
  64. Other Provider Identifier 6
  65. Other Provider Identifier Type Code 6
  66. Other Provider Identifier State 6
  67. Other Provider Identifier Issuer 6
  68. Other Provider Identifier 7
  69. Other Provider Identifier Type Code 7
  70. Other Provider Identifier State 7
  71. Other Provider Identifier Issuer 7
  72. Other Provider Identifier 8
  73. Other Provider Identifier Type Code 8
  74. Other Provider Identifier State 8
  75. Other Provider Identifier Issuer 8
  76. Other Provider Identifier 9
  77. Other Provider Identifier Type Code 9
  78. Other Provider Identifier State 9
  79. Other Provider Identifier Issuer 9
  80. Other Provider Identifier 10
  81. Other Provider Identifier Type Code 10
  82. Other Provider Identifier State 10
  83. Other Provider Identifier Issuer 10
  84. Other Provider Identifier 11
  85. Other Provider Identifier Type Code 11
  86. Other Provider Identifier State 11
  87. Other Provider Identifier Issuer 11
  88. Other Provider Identifier 12
  89. Other Provider Identifier Type Code 12
  90. Other Provider Identifier State 12
  91. Other Provider Identifier Issuer 12
  92. Other Provider Identifier 13
  93. Other Provider Identifier Type Code 13
  94. Other Provider Identifier State 13
  95. Other Provider Identifier Issuer 13
  96. Other Provider Identifier 14
  97. Other Provider Identifier Type Code 14
  98. Other Provider Identifier State 14
  99. Other Provider Identifier Issuer 14
  100. Other Provider Identifier 15
  101. Other Provider Identifier Type Code 15
  102. Other Provider Identifier State 15
  103. Other Provider Identifier Issuer 15
  104. Other Provider Identifier 16
  105. Other Provider Identifier Type Code 16
  106. Other Provider Identifier State 16
  107. Other Provider Identifier Issuer 16
  108. Other Provider Identifier 17
  109. Other Provider Identifier Type Code 17
  110. Other Provider Identifier State 17
  111. Other Provider Identifier Issuer 17
  112. Other Provider Identifier 18
  113. Other Provider Identifier Type Code 18
  114. Other Provider Identifier State 18
  115. Other Provider Identifier Issuer 18
  116. Other Provider Identifier 19
  117. Other Provider Identifier Type Code 19
  118. Other Provider Identifier State 19
  119. Other Provider Identifier Issuer 19
  120. Other Provider Identifier 20
  121. Other Provider Identifier Type Code 20
  122. Other Provider Identifier State 20
  123. Other Provider Identifier Issuer 20
  124. Other Provider Identifier 21
  125. Other Provider Identifier Type Code 21
  126. Other Provider Identifier State 21
  127. Other Provider Identifier Issuer 21
  128. Other Provider Identifier 22
  129. Other Provider Identifier Type Code 22
  130. Other Provider Identifier State 22
  131. Other Provider Identifier Issuer 22
  132. Is Sole Proprietor
  133. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1518051036. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1518051036
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: BRET
The first name of the provider, if the provider is an individual.
Provider Middle Name: T.
The middle name of the provider, if the provider is an individual.
Provider Name Prefix Text: DR.
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Credential Text: M.D.
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address: 500 UNIVERSITY DR MC CA410
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: HERSHEY
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: PA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 170332360
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 7175315208
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 7175310119
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 500 UNIVERSITY DR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: HERSHEY
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: PA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 170332360
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7175316822
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7175314907
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 10/2/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 3/11/2024
The date that a record was last updated or changed.
Provider Gender Code: M
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 207Y00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: MD062010L
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: PA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Healthcare Provider Taxonomy Code 2: 207YP0228X
Provider License Number 2: MD062010L
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 2: PA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 207YX0007X
Provider License Number 3: MD062010L
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 3: PA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 207YX0901X
Provider License Number 4: MD062010L
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 4: PA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 207YX0905X
Provider License Number 5: MD062010L
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 5: PA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 5: N
Other Provider Identifier 1: 560617
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: PA
Other Provider Identifier Issuer 1: HEALTH AMERICA
Other Provider Identifier 2: 867633
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 2: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 2: PA
Other Provider Identifier Issuer 2: MEDICARE GROUP #
Other Provider Identifier 3: 25-1716306
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 3: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 3: PA
Other Provider Identifier Issuer 3: MULTIPLAN/PHCS
Other Provider Identifier 4: 7064055
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 4: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 4: PA
Other Provider Identifier Issuer 4: AETNA NON-HMO
Other Provider Identifier 5: 1018454060001
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 5: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 5: PA
Other Provider Identifier 6: 1367953
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 6: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 6: PA
Other Provider Identifier Issuer 6: HIGHMARK BLUESHIELD
Other Provider Identifier 7: 25-1716306
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 7: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 7: PA
Other Provider Identifier Issuer 7: INTERGROUP
Other Provider Identifier 8: 25-1716306
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 8: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 8: PA
Other Provider Identifier Issuer 8: FIRST HEALTH
Other Provider Identifier 9: G920-0054
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 9: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 9: PA
Other Provider Identifier Issuer 9: CAREFIRST
Other Provider Identifier 10: 2163302
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 10: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 10: PA
Other Provider Identifier Issuer 10: MAMSI
Other Provider Identifier 11: 25-1716306
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 11: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 11: PA
Other Provider Identifier Issuer 11: GREATWEST HEALTHCARE
Other Provider Identifier 12: P00411722
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 12: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 12: PA
Other Provider Identifier Issuer 12: RAILROAD MEDICARE
Other Provider Identifier 13: 25-1716306
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 13: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 13: PA
Other Provider Identifier Issuer 13: DEVON
Other Provider Identifier 14: 25-1716306
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 14: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 14: PA
Other Provider Identifier Issuer 14: HEALTHNET/TRICARE
Other Provider Identifier 15: 1007307260034
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 15: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 15: PA
Other Provider Identifier Issuer 15: MEDICAID GROUP #
Other Provider Identifier 16: 120420405
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 16: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 16: PA
Other Provider Identifier Issuer 16: DEPT OF LABOR
Other Provider Identifier 17: MD062010L
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 17: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 17: PA
Other Provider Identifier Issuer 17: PA LICENSE
Other Provider Identifier 18: 1547181
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 18: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 18: PA
Other Provider Identifier Issuer 18: GATEWAY
Other Provider Identifier 19: 25-1716306
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 19: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 19: PA
Other Provider Identifier Issuer 19: INFORMED
Other Provider Identifier 20: 25-1716306
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 20: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 20: PA
Other Provider Identifier Issuer 20: SOUTH CENTRAL PREFERRED
Other Provider Identifier 21: 3830436
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 21: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 21: PA
Other Provider Identifier Issuer 21: AETNA HMO
Other Provider Identifier 22: 50066685
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 22: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 22: PA
Other Provider Identifier Issuer 22: CAPITAL BLUECROSS
Is Sole Proprietor: Y
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 3/11/2024