Scott A Bralow, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

OS-006582-L Issued in PA

Practice address

301 City Ave
Suite 100
Bala Cynwyd, PA 19004-1708

Phone

(610) 660-8864

Fax

(610) 660-0877

NPI assigned

Apr 10, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bralow Medical GroupGroup PAC ID 4880961838, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dialyze Direct PA Dialysis facility, Exton, PA, CCN 392868
• Dialyze Direct, Cheltenham Outpatient Dialysis Center Dialysis facility, Philadelphia, PA, CCN 392874
• Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bralow Medical Group

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1023556875
  Medicare reassignment Care Compare group
• Scott a. Bralow D.B.a Nephrology Consultants

  dba Scott a. Bralow, D.O

  • Nephrology Physician
  • Bala Cynwyd, PA
  • NPI 1215054523
  Medicare reassignment Authorized official
• Philly Wellness Center LLC

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1215702279
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dialyze Direct PA LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Philadelphia, PA
  • NPI 1336883016

  Dialysis facility

  Care Compare affiliation Name & address match
• Dialyze Direct PA LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Exton, PA
  • NPI 1669873568

  Dialysis facility

  Care Compare affiliation Name & address match
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys

  • General Acute Care Hospital
  • Phila, PA
  • NPI 1063489342
  Care Compare affiliation

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1174586358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CITY AVE",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708",
            "telephone_number": "610-660-8864",
            "fax_number": "610-660-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CITY AVE",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041708",
            "telephone_number": "610-660-8864",
            "fax_number": "610-660-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALOW",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS-006582-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "552065",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mary Bonovitz
• Michael Joseph Bopp, PH.D.
• Lawrence S Borow, M.D.
• Eve Bosnick, MSN,CRNP
• Samantha Lynn Bradford, DPT
• Kirk Brandow, MD
• Eliyahu Breiner, LSW
• Lauren E Brennan, PA-C
• Gail B Brenner, AU.D.
• Ira Brenner, M.D.

• Nephrology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.