Individual provider Active NPI

Robert Greville Brummett, MD

  • Hospitalist Physician
  • Lebanon, PA
National Provider Identifier
1073544946
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD422572 Issued in PA
Practice address
855 Tuck St
Suite 1
Lebanon, PA 17042-7478
Phone
(717) 273-5395
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD422572 PA
Hospitalist Physician 208M00000X MD422572 PA Primary

Addresses

Primary practice location

855 Tuck St
Suite 1
Lebanon, PA 17042-7478

Mailing address

855 Tuck St Ste 1
Lebanon, PA 17042-7214
Phone (717) 273-5395

Other practice location 1

283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 273-8871

Other identifiers 3

IdentifierTypeStateIssuer
243866OtherPAHEALTHAM/HEALTH ASSURANCE
100983589MedicaidPA
1628596OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20041013001111 PA Practitioner - HospitalistPractitioner - Family Practice 0840250981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 273-8871

855 Tuck St
Suite 1
Lebanon, PA 17042-7214
Phone (717) 272-2127

Hospital & facility affiliations

  • Wellspan Vna Home Care Home health agency, York, PA, CCN 397004
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD422572PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 3, 2024 Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Jan 3, 2024 Accepting new patients
Allcare Family Health PC Family Medicine CurrentSince Aug 2, 2006 Accepting new patients
Community Family Health Care PC Family Medicine Past Accepting new patients

Locations

283 S Butler Rd
Lebanon, PA 17042

323 Cumberland St
Lebanon, PA 17042
Phone (717) 272-2127

855 Tuck St
Ste 1
Lebanon, PA 17042
Phone (717) 272-2127

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1073544946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 TUCK ST STE 1",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427214",
            "telephone_number": "717-273-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 TUCK ST",
            "address_2": "SUITE 1",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427478",
            "telephone_number": "717-273-5395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 S Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170428939",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMMETT",
        "first_name": "ROBERT",
        "middle_name": "GREVILLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD422572",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD422572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAM/HEALTH ASSURANCE",
            "identifier": "243866",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100983589",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1628596",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.