Mark Robert Harris, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS007591L Issued in PA

Practice address

20 McMaster Boulevard
Suite 1
Kemblesville, PA 19347-0400

Phone

(610) 255-4466

Fax

(610) 255-4479

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Care Physicians, P.a.Group PAC ID 6901870948, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28224/brand/1/csg/1/fhir/r4

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

• Total Care Physicians, P.a.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1164477451
  Medicare reassignment Care Compare group NPD
• Brandywine Valley Family Care

  • Family Medicine Physician
  • Kemblesville, PA
  • NPI 1992863856
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1063513034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 CHESTERVILLE RD",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193509588",
            "telephone_number": "610-255-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MCMASTER BOULEVARD",
            "address_2": "SUITE 1",
            "city": "KEMBLESVILLE",
            "state": "PA",
            "postal_code": "193470400",
            "telephone_number": "610-255-4466",
            "fax_number": "610-255-4479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Glasgow Ave Ste 124",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197024776",
            "country_code": "US",
            "telephone_number": "302-836-4200",
            "fax_number": "302-836-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007591L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LIC. #",
            "identifier": "OS007591L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandywine Valley Family Care
• David Fahnestock Hoffman, MD
• Kelsey McCormick

• Family Medicine Physician in Kemblesville, PA
• Providers in Kemblesville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.