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BRANDYWINE OBGYN PA NPI 1962682849


NPI Information

NPI: 1962682849
Provider Name: BRANDYWINE OBGYN, PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3519 SILVERSIDE RD
SUITE 204 RIDGELY BLDG
WILMINGTON, DE
ZIP 19810
Phone: (302) 477-1375
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BRANDYWINE OBGYN, PA is an obstetrics gynecology in Wilmington, DE. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BRANDYWINE OBGYN, PA NPI is 1962682849. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3519 SILVERSIDE RD
SUITE 204 RIDGELY BLDG
WILMINGTON, DE
ZIP 19810-909
Phone: (302) 477-1375
Fax: (302) 477-1383

The provider's authorized official is Michael B Cooksey .
The authorized official title is President and has the following contact phone number (302) 477-1375.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 12/8/2008.


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
1207V00000XObstetrics & GynecologyC20005691DELAWAREYes

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
11000013840MEDICAIDDELAWARE
200B237H16MEDICARE PIN
3H31395MEDICARE UPINDELAWARE
4G00916MEDICARE PINDELAWARE

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

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