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WELLSPAN MEDICAL GROUP NPI 1215994934


NPI Information

NPI: 1215994934
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: BROCKIE INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
924 COLONIAL AVE STE B
YORK, PA
ZIP 17403
Phone: (717) 845-8623
Get Directions

WELLSPAN MEDICAL GROUP is an internal medicine in York, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WELLSPAN MEDICAL GROUP NPI is 1215994934. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brockie Internal Medicine.

The provider's business location address is:

924 COLONIAL AVE STE B
YORK, PA
ZIP 17403-450
Phone: (717) 845-8623
Fax: (717) 843-6682

The provider's authorized official is Amy F Wilkinson .
The authorized official title is Credentialing Coordinator and has the following contact phone number (717) 851-1405.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 8/10/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208M00000XHospitalistNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4363A00000XPhysician AssistantNo
5207R00000XInternal MedicineYes

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
1100721360243MEDICAIDPENNSYLVANIA
203005700OTHERPENNSYLVANIACAPITAL BLUE CROSS
30068498000OTHERPENNSYLVANIAAMERI 65PA GEORGE ST
41142285OTHERPENNSYLVANIAAMERIHEALTH COLONIAL AVE
582194OTHERPENNSYLVANIAUNISON COLONIAL AVE
620010095OTHERPENNSYLVANIAAMERIHEALTH GEORGE ST
7800174OTHERPENNSYLVANIAJOHN HOPKINS
882201OTHERPENNSYLVANIAUNISON GEORGE ST
9=========158OTHERPENNSYLVANIATRICARE GEORGE ST
10059784OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
11DJ3QOTHERMARYLANDCAREFIRST MD BCBS
121519824OTHERPENNSYLVANIAGATEWAY
135126007OTHERPENNSYLVANIAAETNA
141007721360092MEDICAIDPENNSYLVANIA
15CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
16117038FLTMEDICARE PINPENNSYLVANIA
170068498001OTHERPENNSYLVANIAAMERI 65PA COLONIAL
18=========026OTHERPENNSYLVANIATRICARE COLONIAL AVE
19S1EMOTHERPENNSYLVANIAGEISINGER PCP
20354TOTHERPENNSYLVANIAGEISINGER SP

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: 4/28/2024

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.