Individual provider Active NPI

Brian M Resnick, DO

  • Internal Medicine Physician
  • Telford, PA
National Provider Identifier
1144305012
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS008558L Issued in PA
Practice address
706 S County Line Rd
Telford, PA 18969-1108
Phone
(215) 723-7300
Fax
(215) 723-8022
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS008558L PA Primary

Addresses

Primary practice location

706 S County Line Rd
Telford, PA 18969-1108

Mailing address

706 S County Line Rd
Telford, PA 18969-1108
Phone (215) 723-7300

Other identifiers 1

IdentifierTypeStateIssuer
0005427547OtherPAAETNA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000211 PA Practitioner - Internal Medicine 1557494903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

706 S County Line Rd
1 Advocare County Line Medical Assoc.
Telford, PA 18969-1108
Phone (215) 302-9096

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Internal Medicine CurrentSince Oct 18, 2019 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Oct 18, 2019 Accepting new patients
Advocare, LLC Past Accepting new patients
Mdvip Medical Group PA LLC Internal Medicine Past Accepting new patients

Locations

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

706 S County Line Rd
Ste 1
Telford, PA 18969
Phone (215) 302-9096

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13865/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/11105/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1144305012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S COUNTY LINE RD",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691108",
            "telephone_number": "215-723-7300",
            "fax_number": "215-723-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S COUNTY LINE RD",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691108",
            "telephone_number": "215-723-7300",
            "fax_number": "215-723-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008558L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005427547",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

Sources for this page

Verify at the official NPI Registry.