Brister, Randy
Brister, Randy is an sole proprietor health care provider with primary practice located at 104 Pheasant Run Newtown Pavillion, Suite 105, Newtown PA 18940-3439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brister, Randy can be contacted via phone (215) 968-6844.Contact Information
Primary practice address
104 Pheasant Run Newtown Pavillion, Suite 105
Newtown PA 18940-3439
Phone: (215) 968-6844
Fax: (215) 968-4519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD-025604-E | Pennsylvania |
Profile Details
| NPI number | 1023032182 |
|---|---|
| LBN Legal business name | Brister, Randy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 11th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023032182 | NPPES |
| Pennsylvania | MEDICAID | 001609273 |
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