DR. BRANDON KENNETH FORNWALT MD PHD NPI 1811212707

NPI Information

NPI: 1811212707
Provider Name: DR. BRANDON KENNETH FORNWALT, MD, PHD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
100 N ACADEMY AVE
DANVILLE, PA
ZIP 17822
Phone: (570) 271-6301
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DR. Brandon Kenneth Fornwalt, MD, PHD is a diagnostic radiology radiology in Danville, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Brandon Kenneth Fornwalt, MD, PHD NPI is 1811212707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N ACADEMY AVE
DANVILLE, PA
ZIP 17822-724
Phone: (570) 271-6301
Fax: (570) 271-5976

The enumeration date for this NPI number is 4/2/2010 and was last updated on 7/5/2019.

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	2085R0202X	Radiology	Diagnostic Radiology	MD467471	PENNSYLVANIA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

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

NPI Synchronization or Removal

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