NPIMap

Organization Active NPI

Coatesville Clinic Company, LLC

Doing business as Brandywine Valley Family Medicine

  • Family Medicine Physician
  • Coatesville, PA
National Provider Identifier
1144260159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COATESVILLE CLINIC COMPANY, LLC
Doing business as
Brandywine Valley Family Medicine
Practice address
219 Reeceville Rd
Ste 202
Coatesville, PA 19320-1546
Phone
(610) 383-9400
NPI assigned
Jun 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Newsome
Title
Group V.P.
Phone
(615) 309-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

219 Reeceville Rd
Ste 202
Coatesville, PA 19320-1546

Mailing address

330 Franklin Rd
135A-502
Brentwood, TN 37027-3280
Phone (615) 309-3300

Other names 1

  • Brandywine Valley Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coatesville Clinic Company LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

219 Reeceville Rd
Ste 202
Coatesville, PA 19320
Phone (610) 383-9400

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144260159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD",
            "address_2": "135A-502",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273280",
            "telephone_number": "615-309-3300",
            "fax_number": "615-309-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 REECEVILLE RD",
            "address_2": "STE 202",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201546",
            "telephone_number": "610-383-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATESVILLE CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "GROUP V.P.",
        "authorized_official_telephone_number": "615-309-3300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Valley Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coatesville, PA

Sources for this page

  • 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.