| Medical Associates Of Bridesburg | |
|
4517 E Thompson St Philadelphia PA 19137-2003 | |
| (215) 535-1275 | |
| (215) 535-8690 |
| Full Name | Medical Associates Of Bridesburg |
|---|---|
| Speciality | Family Medicine |
| Location | 4517 E Thompson St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Brian Bernot Kimmel (PRESIDENT) |
| Authorized Official Contact | 2155351275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Bridesburg 4517 E Thompson St Philadelphia PA 19137-2003 Ph: (215) 535-1275 | Medical Associates Of Bridesburg 4517 E Thompson St Philadelphia PA 19137-2003 Ph: (215) 535-1275 |
| NPI Number | 1699817056 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 03/04/2008 |
| Medicare PECOS PAC ID | 8426037094 |
|---|---|
| Medicare Enrollment ID | O20040716000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699817056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS005625L (Pennsylvania) | Primary |
| Provider Name | Brian B Kimmel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528007176 PECOS PAC ID: 2860433968 Enrollment ID: I20061113000216 |
| Provider Name | Barbarann J Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619214491 PECOS PAC ID: 4981840600 Enrollment ID: I20130424000664 |
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