Gregory M Braccia MD LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MD0489261 Issued in PA

Legal business name

GREGORY M BRACCIA MD LLC

Practice address

945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614

Phone

(610) 695-8088

Fax

(610) 695-6356

NPI assigned

Oct 30, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernadette N Scarduzio

Title

Billing Manager

Phone

(484) 452-8003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1124207865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190870546",
            "telephone_number": "484-452-8003",
            "fax_number": "610-879-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 CHESTERBROOK BLVD",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875614",
            "telephone_number": "610-695-8088",
            "fax_number": "610-695-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY M BRACCIA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "SCARDUZIO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "484-452-8003"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD0489261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koorosh Forootan
• Joseph Richard Gagnon Jr., CRNP
• Allen Geng, DMD
• Meagan Gerber
• Satheesh S Gottipati, R.PH
• Marla Gropper
• Hunter King, MD
• Diana Lang
• Claire Lartigue
• J. Doris Lebischak, M.D.

• Pain Medicine Physician in Chesterbrook, PA
• Providers in Chesterbrook, PA by specialty
• Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.