BRIGANTINE MEDICAL GROUP PA NPI 1669462735

NPI Information

NPI: 1669462735
Provider Name: BRIGANTINE MEDICAL GROUP PA
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
353 12TH ST S
BRIGANTINE, NJ
ZIP 08203
Phone: (609) 266-7557
Get Directions

BRIGANTINE MEDICAL GROUP PA is an adult medicine family medicine in Brigantine, NJ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. BRIGANTINE MEDICAL GROUP PA NPI is 1669462735. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

353 12TH ST S
BRIGANTINE, NJ
ZIP 08203-211
Phone: (609) 266-7557
Fax: (609) 266-4450

The provider's authorized official is Barbara Mackleer .
The authorized official title is Office Manager and has the following contact phone number (609) 266-7557.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 7/21/2022.

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
1	207QA0505X	Family Medicine	Adult Medicine		NEW JERSEY	Yes

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
1	2618907-1	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

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