Provider Type Icon

BRALOW MEDICAL GROUP NPI 1023556875


NPI Information

NPI: 1023556875
Provider Name: BRALOW MEDICAL GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
834 SOUTH ST.
PHILADELPHIA, PA
ZIP 19147
Phone: (610) 986-4827
Get Directions

BRALOW MEDICAL GROUP is a general practice in Philadelphia, PA. BRALOW MEDICAL GROUP NPI is 1023556875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

834 SOUTH ST.
PHILADELPHIA, PA
ZIP 19147
Phone: (610) 986-4827
Fax: (610) 660-0877

The provider's authorized official is Vicki L Bralow .
The authorized official title is President and has the following contact phone number (610) 986-4827.

The enumeration date for this NPI number is 2/1/2017 and was last updated on 2/28/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeOS006570LPENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E69312MEDICARE UPINPENNSYLVANIA
2E82438MEDICARE UPINPENNSYLVANIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.