Provider Type Icon

GARY T BROTHERSON MD INC NPI 1497788087


NPI Information

NPI: 1497788087
Provider Name: GARY T BROTHERSON MD INC

Doing Business As: NIAGARA EYE ASSOCIATES

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1801 W 8TH ST
ERIE, PA
ZIP 16505
Phone: (814) 455-8004
Get Directions

GARY T BROTHERSON MD INC is an ophthalmology in Erie, PA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. GARY T BROTHERSON MD INC NPI is 1497788087. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Niagara Eye Associates.

The provider's business location address is:

1801 W 8TH ST
ERIE, PA
ZIP 16505-938
Phone: (814) 455-8004
Fax: (814) 456-6054

The provider's authorized official is Lori Piscitelli .
The authorized official title is Billing Admin. and has the following contact phone number (814) 455-8004.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 1/21/2011.


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
1207W00000XOphthalmologyOS010267LPENNSYLVANIANo
2207W00000XOphthalmologyMD030604EPENNSYLVANIAYes

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
11821062662OTHERPENNSYLVANIAFATICA NPI
2H72254MEDICARE UPINPENNSYLVANIA
3062849OTHERPENNSYLVANIAFATICA
4B34959MEDICARE UPINPENNSYLVANIA
50009730980001MEDICAIDPENNSYLVANIA
6OS010267LOTHERPENNSYLVANIAFATICA LICENSE
71011674140001MEDICAIDPENNSYLVANIA
8MD030604EOTHERPENNSYLVANIABROTHERSON LICENSE
9060638OTHERPENNSYLVANIAPTAN
10071671OTHERPENNSYLVANIABROTHERSON
111444836OTHERPENNSYLVANIAHIGHMARK MEDICAL GTB/FAF
121932173754OTHERPENNSYLVANIABROTHERSON NPI

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.