Organization Active NPI

Bryn Mawr Dermatology, P.C.

  • Non-Pharmacy Dispensing Site
  • Chesterbrook, PA
National Provider Identifier
1194558601
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
BRYN MAWR DERMATOLOGY, P.C.
Practice address
945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614
Phone
(610) 525-7800
Fax
(610) 525-7801
NPI assigned
Aug 21, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Bethany ValentinNPI 1235529181
Title
Pharmacy Manager
Phone
(610) 525-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614

Mailing address

945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614
Phone (610) 525-7800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1194558601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CHESTERBROOK BLVD",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875614",
            "telephone_number": "610-525-7800",
            "fax_number": "610-525-7801"
        },
        {
            "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": "610-525-7800",
            "fax_number": "610-525-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "610-525-7800"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterbrook, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.