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DR. BRAD STOLTZ D.O. NPI 1407885924


NPI Information

NPI: 1407885924
Provider Name: DR. BRAD STOLTZ, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
339 E STREET RD
TREVOSE, PA
ZIP 19053
Phone: (215) 464-4111
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DR. Brad Stoltz, D.O. is a family medicine in Trevose, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Brad Stoltz, D.O. NPI is 1407885924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

339 E STREET RD
TREVOSE, PA
ZIP 19053-711
Phone: (215) 464-4111
Fax: (267) 574-8111

The enumeration date for this NPI number is 6/30/2006 and was last updated on 7/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS007651LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101526143MEDICAIDPENNSYLVANIA
2F61895MEDICARE UPINPENNSYLVANIA
3734984MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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