Bralow Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS006570L Issued in PA

Legal business name

BRALOW MEDICAL GROUP

Practice address

834 South St.
Philadelphia, PA 19147

Phone

(610) 986-4827

Fax

(610) 660-0877

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Vicki L Bralow, D.O.NPI 1962588335

Title

President

Phone

(610) 986-4827

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicki L Bralow, DO

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1962588335
  Medicare reassignment Care Compare group Authorized official
• Scott A Bralow, D.O.

  • Nephrology Physician
  • Bala Cynwyd, PA
  • NPI 1174586358
  Medicare reassignment Care Compare group
• Catherine Cecelia Harris, PHD, MBA

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1831394386
  NPD

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1023556875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 SOUTH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19147",
            "telephone_number": "610-986-4827",
            "fax_number": "610-660-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 SOUTH ST.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19147",
            "telephone_number": "610-986-4827",
            "fax_number": "610-660-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRALOW MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "BRALOW",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-986-4827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS006570L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khyati Brahmbhatt
• Yasmin G Brahmbhatt, MD
• Kelli Braightmeyer, M.D.
• Kristen L Brake, CRNA
• Eleanor Brakewood
• Vicki L Bralow, DO
• Megan Bralski
• Aaron Bram
• Alexandra Bramall, PHARMD
• Rachel Braman, DPT

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.