Individual provider Active NPI

Brett S Fissel, MD

  • Family Medicine Physician
  • Chalfont, PA
National Provider Identifier
1215970694
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD063970L Issued in PA
Practice address
1600 Horizon Dr
Suite 117
Chalfont, PA 18914-4100
Phone
(215) 997-9737
Fax
(215) 997-9738
NPI assigned
Jun 14, 2006
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD063970L PA Primary

Addresses

Primary practice location

1600 Horizon Dr
Suite 117
Chalfont, PA 18914-4100

Mailing address

1600 Horizon Dr
Suite 117
Chalfont, PA 18914-4100
Phone (215) 997-9737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000513 PA Practitioner - Family Practice 2769459213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabclinics SPT IncGroup PAC ID 7113834102, shared by 20 NPIs, 101 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

4275 County Line Rd
Suite 26
Chalfont, PA 18914-2212
Phone (267) 952-8120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD063970LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Abington Orthopaedic Specialists, PC Past Accepting new patients
Abington Memorial Hospital PastSince Jan 1, 2016 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1600 Horizon Dr
Ste 117
Chalfont, PA 18914
Phone (215) 368-4434

500 York Rd
Ste 108
Jenkintown, PA 19046
Phone (215) 481-2725

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1215970694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HORIZON DR",
            "address_2": "SUITE 117",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189144100",
            "telephone_number": "215-997-9737",
            "fax_number": "215-997-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HORIZON DR",
            "address_2": "SUITE 117",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189144100",
            "telephone_number": "215-997-9737",
            "fax_number": "215-997-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISSEL",
        "first_name": "BRETT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD063970L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

Verify at the official NPI Registry.