Bryn Mawr Wound Care & Vascular Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD030793L Issued in PA

Legal business name

BRYN MAWR WOUND CARE & VASCULAR CENTER

Practice address

830 Old Lancaster Road
Suite 202
Bryn Mawr, PA 19010

Phone

(610) 527-1213

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

John R Filip, M.D.

Title

Owner

Phone

(610) 527-1213

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124189766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OLD LANCASTER ROAD",
            "address_2": "SUITE 202",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-527-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OLD LANCASTER ROAD",
            "address_2": "SUITE 202",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-527-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR WOUND CARE & VASCULAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FILIP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-527-1213",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD030793L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3102405695",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryn Mawr Sports Medicine and Rehabilitation
• Bryn Mawr Surgery Center LLC
• Bryn Mawr Surgery Center LLC
• Bryn Mawr Surgical Institute, Inc
• Bryn Mawr Wellness LLC
• Lori J Budman, MSS, LCSW
• Brian W Bullock
• Moiriah Burdo, CRNP
• Marlene J Burk, LAC
• Laura Burns Bowen, CRNP

• All providers in Bryn Mawr, PA
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.