Active NPI
Claytor Plastic Surgery, Inc
- Plastic Surgery Physician
- Bryn Mawr, PA
National Provider Identifier
1083010243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD443747
- Legal business name
- CLAYTOR PLASTIC SURGERY, INC
- Doing business as
- Claytor Noone Plastic Surgery
- Practice address
- 135 S Bryn Mawr Ave Ste 300
Bryn Mawr, PA 19010-3131 - Phone
- (610) 527-4833
- Fax
- (610) 527-7403
- NPI assigned
- Nov 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. R. Brannon Claytor, MD, FACS
- Title
- Owner
- Phone
- (610) 527-4833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD443747 | PA | Primary |
Addresses
Primary practice location
135 S Bryn Mawr Ave Ste 300
Bryn Mawr, PA 19010-3131
Mailing address
135 S Bryn Mawr Ave Ste 300
Bryn Mawr, PA 19010-3131
Phone (610) 527-4833
Other names 1
- Claytor Noone Plastic Surgery
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2335598 | Claytor Plastic Surgery | Certificate of waiver | Dec 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
135 S Bryn Mawr Ave
Ste 300
Bryn Mawr, PA 19010
Phone (610) 527-4833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659484800000",
"number": "1083010243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S BRYN MAWR AVE STE 300",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103131",
"telephone_number": "610-527-4833",
"fax_number": "610-527-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S BRYN MAWR AVE STE 300",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103131",
"telephone_number": "610-527-4833",
"fax_number": "610-527-7403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYTOR PLASTIC SURGERY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-14",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A",
"authorized_official_last_name": "CLAYTOR",
"authorized_official_first_name": "R.",
"authorized_official_middle_name": "BRANNON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-527-4833",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, FACS"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD443747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Claytor Noone Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.