NPIMap

Individual provider Active NPI

Wade A Brosius, DO

  • Family Medicine Physician
  • Royersford, PA
National Provider Identifier
1043284763
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008179L Issued in PA
Practice address
307 S Lewis Rd
Royersford, PA 19468-1828
Phone
(610) 792-0300
Fax
(610) 792-3790
NPI assigned
Feb 17, 2006
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008179L PA Primary

Addresses

Primary practice location

307 S Lewis Rd
Royersford, PA 19468-1828

Mailing address

1601 Medical Dr
Pottstown, PA 19464-3241
Phone (610) 327-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000841 PA Practitioner - Family Practice 5395793871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1555 Medical Dr
Pottstown, PA 19464-3224
Phone 6103267820610

1566 Medical Dr
Suite 104
Pottstown, PA 19464-3229
Phone (484) 945-0075

307 S Lewis Rd
Spring Ford Family Practice
Royersford, PA 19468-1828
Phone (610) 792-0300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bayada Home Health Care, Inc. Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Pmsi Division of Neurology CurrentSince Nov 10, 2022 Accepting new patients
Bayada Home Health Care, Inc. Family Medicine Current Accepting new patients
Bayada Home Health Care, Inc. Family Medicine Current Accepting new patients
Bayada Home Health Care, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Pottstown Medical Specialists Inc Family Medicine Past Accepting new patients

Locations

1 W Philadelphia Ave
Fl 4
Boyertown, PA 19512
Phone (610) 367-1608

11 Campus Blvd
Ste 190
Newtown Square, PA 19073
Phone (610) 627-2050

Interoperability endpoints

  • Direct secure messaging: wadebrosius@pmsi.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Suncrest Hospice of Philadelphia LLCPlymouth Meeting, PA, CCN 731507 Hospice Contracted Managing Employee (100%) Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1043284763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643241",
            "telephone_number": "610-327-4200",
            "fax_number": "610-327-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S LEWIS RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681828",
            "telephone_number": "610-792-0300",
            "fax_number": "610-792-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSIUS",
        "first_name": "WADE",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008179L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

Verify at the official NPI Registry.