WELLSPAN MEDICAL GROUP NPI 1215994934

NPI Details

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 CLIA number assigned to this NPI record is 39D1001203 - physician office with a certificate type of Certificate of Waiver.

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:

Other Identifiers

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