Individual provider Active NPI

Brinda E Rao, M.D.

  • Pediatrics Physician
  • Oxford, PA
National Provider Identifier
1205851292
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD031406-E Issued in PA
Practice address
305 N 3Rd St
Oxford Professional Center
Oxford, PA 19363-1429
Phone
(610) 932-9118
Fax
(610) 932-8511
NPI assigned
Jul 12, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD031406-E PA Primary

Addresses

Primary practice location

305 N 3Rd St
Oxford Professional Center
Oxford, PA 19363-1429

Mailing address

305 N 3Rd St
Oxford Professional Center
Oxford, PA 19363-1429
Phone (610) 932-9118

Other identifiers 1

IdentifierTypeStateIssuer
0010592270001OtherPAMEDICAL ASSISTANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD031406-EPAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205851292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 3RD ST",
            "address_2": "OXFORD PROFESSIONAL CENTER",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631429",
            "telephone_number": "610-932-9118",
            "fax_number": "610-932-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 3RD ST",
            "address_2": "OXFORD PROFESSIONAL CENTER",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631429",
            "telephone_number": "610-932-9118",
            "fax_number": "610-932-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "BRINDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD031406-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0010592270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.