Organization Active NPI

Scott a. Bralow D.B.a Nephrology Consultants

  • Nephrology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1215054523
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS-006582-L Issued in PA
Legal business name
SCOTT A. BRALOW D.B.A NEPHROLOGY CONSULTANTS
Doing business as
SCOTT A. BRALOW, D.O
Practice address
301 City Ave
Suite 100
Bala Cynwyd, PA 19004-1738
Phone
(610) 660-8864
Fax
(610) 660-0877
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Scott A Bralow, D.O.NPI 1174586358
Title
Owner
Phone
(610) 660-8864

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
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X OS-006582-L PA Primary

Addresses

Primary practice location

301 City Ave
Suite 100
Bala Cynwyd, PA 19004-1738

Mailing address

301 City Ave
Suite 100
Bala Cynwyd, PA 19004-1738
Phone (610) 660-8864

Other names 1

  • SCOTT A. BRALOW, D.O Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720000949 PA Part B Supplier - Clinic/Group Practice 6608856802 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

301 E City Line Ave
Bala Cynwyd, PA 19004
Phone (610) 617-1300

420 Bainbridge St
Ste 201
Philadelphia, PA 19147
Phone (215) 832-0130

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1215054523",
    "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": "190041738",
            "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": "190041738",
            "telephone_number": "610-660-8864",
            "fax_number": "610-660-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. BRALOW D.B.A NEPHROLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BRALOW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-660-8864",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS-006582-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTT A. BRALOW, D.O",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.