Brendan Patrick Teehan, M.D.04

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

MD:1743E Issued in PA

Practice address

377 Wyldhaven Rd
Bryn Mawr, PA 19010-1241

Phone

(610) 527-0216

Fax

(610) 527-0216

NPI assigned

Feb 24, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1083988992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 WYLDHAVEN RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101241",
            "telephone_number": "610-527-0216",
            "fax_number": "610-527-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 WYLDHAVEN RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101241",
            "telephone_number": "610-527-0216",
            "fax_number": "610-527-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEHAN",
        "first_name": "BRENDAN",
        "middle_name": "PATRICK",
        "credential": "M.D.04",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "PA",
            "license": "MD:1743E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reem A Tarazi, PH.D.
• Bernadette M Tate, PSY.D.
• Samantha Tavlin
• Sonja C Taylor, DPT
• Veronica Marie Taylor, DPT
• Raya D'Vora Terry, MD
• Linh-Tu Ashley Thai, MD, MPH
• Amit Kaushik Thaker, D.O.
• Hema Shailaja Thaker, MD
• The Birth Center

• Community Health Clinic/Center in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Community Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.