OrganizationActive
Bloomsburg Physicians Services
NPI 1477758407 · Family Medicine Physician · Berwick, PA
Provider details
- NPI number
- 1477758407
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Hollister, Assistant Practice Manager(570) 387-2166
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 West 9th Street
Berwick, PA 18603
Phone: (570) 387-2166
Fax: (570) 387-2316
Street-level locationGet directions
Mailing address
401 Glenn Ave
Bloomsburg, PA 17815-1419
Other names (DBA / former)
- Doing business as
- Jose Derr
Registry dates
- Enumerated
- 2007-06-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.