Brandywine Rheumatology, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

BRANDYWINE RHEUMATOLOGY, LLC

Practice address

1601 Milltown Rd Ste 15
Wilmington, DE 19808-4084

Phone

(302) 866-0001

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Eric Russell, MDNPI 1013243401

Title

Owner

Phone

(302) 866-0001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22887/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Eric Marc Russell, DO

  • Rheumatology Physician
  • Wynnewood, PA
  • NPI 1013243401

  DE

  Medicare reassignment Care Compare group NPD Authorized official
• Victoria Cooper

  • Nurse Practitioner
  • Wilmington, DE
  • NPI 1922676725
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1073116133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 15",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-866-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 15",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-866-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-866-0001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandywine Physical Therapy Services , Inc.
• Brandywine Podiatry PA
• Brandywine Podiatry PA
• Brandywine Podiatry, PA
• Brandywine Podiatry, PA
• Brandywine Therapeutics LLC
• Brandywine Total Health Care, Inc.
• Brandywine Valley TMS PA (Brandywine Valley TMS)
• Brandywine Womens Health Associates
• Steven B Brangs, R.PH

• Rheumatology Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Rheumatology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.