Individual provider Active NPI

Brian J Damweber, MPAS PA-C

  • Medical Physician Assistant
  • Center Valley, PA
National Provider Identifier
1124026760
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002758L Issued in PA
Practice address
3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237
Phone
(484) 626-0480
Fax
(484) 896-9002
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002758L PA Primary

Addresses

Primary practice location

3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237

Mailing address

1 E Broad St Ste 130
Bethlehem, PA 18018-5934
Phone (484) 626-0480

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000373 PA Practitioner - Physician Assistant 3678753852 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenfeld Vanwirt PCGroup PAC ID 5698909117, 29 clinicians
RFVW Healthcare, PCGroup PAC ID 1153866900, 33 clinicians

Practice addresses (Care Compare)

1 S Home Ave
Topton, PA 19562-1317
Phone (610) 682-1275

3477 Corporate Pkwy
Center Valley, PA 18034-8237
Phone (484) 626-0480

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Allentown, PA, CCN 397533
  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Nov 19, 2013 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 19, 2013 Accepting new patients
Albert Gallatin Home Care and Hospice Services, LLC Past Accepting new patients

Locations

401 N 17th St
Ste 201
Allentown, PA 18104
Phone (215) 432-6862

1255 S Cedar Crest Blvd
Ste 2200
Allentown, PA 18103
Phone (610) 437-9006

401 N 17th St
Ste 202
Allentown, PA 18104
Phone (610) 432-1427

Organizations & group practices 7

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1124026760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185934",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 CORPORATE PKWY STE 100",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348237",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMWEBER",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MPAS PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002758L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.