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
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 2

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

945 Chesterbrook Blvd
Chesterbrook, PA 19087-5614

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2024.

{
    "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.