Organization Active NPI

Bryn Mawr Urology

  • Urology Physician
  • Rosemont, PA
National Provider Identifier
1003860966
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
BRYN MAWR UROLOGY
Practice address
919 Conestoga Rd
Building One Suite 300
Rosemont, PA 19010-1352
Phone
(610) 525-6580
Fax
(610) 525-3664
NPI assigned
May 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jacqueline Jouet
Title
Billing Manager
Phone
(610) 525-6580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X PA Primary

Addresses

Primary practice location

919 Conestoga Rd
Building One Suite 300
Rosemont, PA 19010-1352

Mailing address

919 Conestoga Rd
Building One Suite 300
Rosemont, PA 19010-1352
Phone (610) 525-6580

National Provider Directory

National Provider Directory

Locations

101 S Bryn Mawr Ave
Ste 220
Bryn Mawr, PA 19010
Phone (215) 525-6580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003860966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING ONE SUITE 300",
            "city": "ROSEMONT",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-6580",
            "fax_number": "610-525-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING ONE SUITE 300",
            "city": "ROSEMONT",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-6580",
            "fax_number": "610-525-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOUET",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-525-6580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.