NPIMap

Organization Active NPI

Coatesville Clinic Company, LLC

Doing business as Brandywine Valley Orthopedics

  • Orthopaedic Surgery Physician
  • Exton, PA
National Provider Identifier
1194783050
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COATESVILLE CLINIC COMPANY, LLC
Doing business as
Brandywine Valley Orthopedics
Practice address
460 Creamery Way
Suite 103
Exton, PA 19341-2533
Phone
(610) 524-6810
Fax
(610) 524-6291
NPI assigned
May 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Douglas Newsome
Title
Group VP
Phone
(610) 524-6810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

460 Creamery Way
Suite 103
Exton, PA 19341-2533

Mailing address

460 Creamery Way
Suite 103
Exton, PA 19341-2533
Phone (610) 524-6810

Other names 1

  • Brandywine Valley Orthopedics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coatesville Clinic Company LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

460 Creamery Way
Ste 103
Exton, PA 19341
Phone (610) 384-8300

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194783050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY",
            "address_2": "SUITE 103",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-524-6810",
            "fax_number": "610-524-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY",
            "address_2": "SUITE 103",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-524-6810",
            "fax_number": "610-524-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATESVILLE CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "GROUP VP",
        "authorized_official_telephone_number": "610-524-6810"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Valley Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.