First Brick Clinic

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

FIRST BRICK CLINIC

Practice address

2757 N 5TH St
Philadelphia, PA 19133-2700

Phone

(215) 839-9661

NPI assigned

Nov 27, 2024

Organization subpart

No

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

Authorized official

Name

Symantha Hower

Title

Director

Phone

(267) 421-8193

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Petner, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1679545750
  NPD

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1174349724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 INDIAN GUIDE RD",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332700",
            "telephone_number": "215-839-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST BRICK CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "HOWER",
        "authorized_official_first_name": "SYMANTHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-421-8193"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassaye Demoze Firde, MD
• Cassandra Nicole Firestone
• Jacob Firestone, PSY.D.
• Reed Alexander Firestone, MD
• Chelise Firmin, O.D.
• First Call Ambulance Company LLC
• First Care Ambulance Inc
• First Choice Care Services, Inc
• First Class Pharmacy, LLC
• First Comfort Home Care LLC

• Addiction Medicine (Internal Medicine) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Addiction Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.