| Brookpark Family Practice, P.c. | |
|
98 Reitz Blvd Lewisburg PA 17837-9206 | |
| (570) 524-4443 | |
| (570) 523-1855 |
| Full Name | Brookpark Family Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 98 Reitz Blvd, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Michael D Brown (PRESIDENT) |
| Authorized Official Contact | 5705244443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookpark Family Practice, P.c. 98 Reitz Blvd Lewisburg PA 17837-9206 Ph: (570) 524-4443 | Brookpark Family Practice, P.c. 98 Reitz Blvd Lewisburg PA 17837-9206 Ph: (570) 524-4443 |
| NPI Number | 1730159997 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730159997 | NPI | - | NPPES |
| 0352417 | Other | PA | HIGHMARK BLUE SHIELD |
| 0018452610001 | Medicaid | PA | |
| 139549 | Other | PA | HEALTH ASSURANCE/AMERICA |
| 02602900 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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