Active NPI
East Brown Medical Associates
- Internal Medicine Physician
- East Stroudsburg, PA
National Provider Identifier
1215077672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EAST BROWN MEDICAL ASSOCIATES
- Practice address
- 100 Eaglesmere Cir
East Stroudsburg, PA 18301-3144 - Phone
- (570) 421-5111
- Fax
- (571) 421-4125
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Harrison
- Title
- Billing Manager
- Phone
- (570) 426-1586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PA | Primary |
Addresses
Primary practice location
100 Eaglesmere Cir
East Stroudsburg, PA 18301-3144
Mailing address
100 Eaglesmere Cir
East Stroudsburg, PA 18301-3144
Phone (570) 421-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011962710003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1215077672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAGLESMERE CIR",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013144",
"telephone_number": "570-421-5111",
"fax_number": "571-421-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAGLESMERE CIR",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013144",
"telephone_number": "570-421-5111",
"fax_number": "571-421-4125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST BROWN MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "570-426-1586"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011962710003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
- Kristian Luke Dyrli, DPT
- Eac Medical Services, LLC
- Eaglesmere Medical Associates,PC
- Brian John Eames, PA-C
- Eileen M Early, CRNP
- East Brown Street Pharmacy, Inc
- East Penn Heart and Vascular Consultants, PC
- East Penn Rheumatology
- East Stroudsburg Area School District
- East Stroudsburg Counseling Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.