Active NPI
Primary Focus Medicine Inc
- Family Medicine Physician
- Dickson Cty, PA
National Provider Identifier
1114700689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMARY FOCUS MEDICINE INC
- Practice address
- 1550 Main St
Dickson Cty, PA 18447-1345 - Phone
- (570) 218-8055
- Fax
- (570) 550-0869
- NPI assigned
- Aug 17, 2023
- 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
- Carolina Favero Brag, MD
- Title
- MD
- Phone
- (570) 218-8055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1550 Main St
Dickson Cty, PA 18447-1345
Mailing address
1550 Main St
Dickson Cty, PA 18447-1345
Phone (570) 218-8055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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 |
|---|---|---|---|
| 39D2308755 | Primary Focus Medicine | Certificate of waiver | Aug 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
1550 Main St
Ste 1B
Dickson Cty, PA 18447
Phone (570) 218-8055
1330 Main St
#141
Scranton, PA 18519
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- East Stroudsburg, PA
- NPI 1740699636
-
- Emergency Medicine Physician
- Dickson Cty, PA
- NPI 1447660410
-
- Physician Assistant
- Scranton, PA
- NPI 1538830872
-
- Family Nurse Practitioner
- Hawley, PA
- NPI 1932616356
-
- Medical Physician Assistant
- Scranton, PA
- NPI 1942970140
-
- Physician Assistant
- Bethlehem, PA
- NPI 1306383195
-
- Physician Assistant
- Scranton, PA
- NPI 1831591759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1114700689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 MAIN ST",
"city": "DICKSON CTY",
"state": "PA",
"postal_code": "184471345",
"telephone_number": "570-218-8055",
"fax_number": "570-550-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 MAIN ST",
"city": "DICKSON CTY",
"state": "PA",
"postal_code": "184471345",
"telephone_number": "570-218-8055",
"fax_number": "570-550-0869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY FOCUS MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "BRAG",
"authorized_official_first_name": "CAROLINA",
"authorized_official_middle_name": "FAVERO",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "570-218-8055",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson Cty, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.