Mary Anne Freeman Brndjar DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS008332L Issued in PA

Legal business name

MARY ANNE FREEMAN BRNDJAR DO

Practice address

4 W Main St
Macungie, PA 18062-1120

Phone

(610) 965-6200

Fax

(610) 965-6211

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Mary Anne Freeman Brndjar, DONPI 1518911411

Title

Physician

Phone

(610) 820-0300

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Maryanne Freeman Brndjar, DO

  • Obstetrics & Gynecology Physician
  • Macungie, PA
  • NPI 1518911411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1033304043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W MAIN ST",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180621120",
            "telephone_number": "610-965-6200",
            "fax_number": "610-965-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W MAIN ST",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180621120",
            "telephone_number": "610-965-6200",
            "fax_number": "610-965-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANNE FREEMAN BRNDJAR DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "FREEMAN BRNDJAR",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-820-0300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS008332L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20027867",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001537175",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50027453",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "2229018000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3357346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Makoul, OT
• Shailesh Malhotra, MD
• Julie Lynn Markley, PTA
• Betsy Martellucci
• Janelle Liza Marth, MS, OTR/L
• Nadine Mason, APRN
• Ghada Massad
• Patricia Ann McCarthy, LCSW
• Desiree Nicole McCaslin, DPT
• Jared William McCrillis

• Obstetrics & Gynecology Physician in Macungie, PA
• Providers in Macungie, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.