Brookside Family Practice

LBN: Brookside Family Practice & Pediatrics
Brookside Family Practice is an health care organization with primary practice located at 1555 Medical Drive , Pottstown PA 19464. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Brookside Family Practice & Pediatrics can be contacted via phone (610) 326-7820, or through Enochs, Shana M via phone (610) 327-4200.

Contact Information

Primary practice address
1555 Medical Drive Pottstown PA 19464
Phone: (610) 326-7820
Fax: (610) 326-4068
Website:
Map and Directions
Authorized official contact:
Name: Enochs, Shana M
Phone: (610) 327-4200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD027759E Pennsylvania

Profile Details

NPI number 1033234133
LBN Legal business name Brookside Family Practice & Pediatrics
DBA Doing business as Brookside Family Practice
Authorized official Enochs, Shana M
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jul 14th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033234133 NPPES
Pennsylvania Other 0045725011 KEYSTONE HMO
Pennsylvania Other 26191 KEYSTONE HMO

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