Colon and Rectal Wellness Center

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

MD031375E Issued in PA

Legal business name

COLON AND RECTAL WELLNESS CENTER

Practice address

105 Brandt Dr
Suite 202
Cranberry TWP, PA 16066-6437

Phone

(724) 538-3330

NPI assigned

Apr 14, 2011

Last updated

May 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley A Levinson, MDNPI 1043219363

Title

Pres/Owner

Phone

(724) 538-3330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley A Levinson, MD

  • Colon & Rectal Surgery Physician
  • Cranberry TWP, PA
  • NPI 1043219363
  Authorized official Same address or phone

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1275823973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 GRISTMILL LN",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160633119",
            "telephone_number": "724-538-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRANDT DR",
            "address_2": "SUITE 202",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666437",
            "telephone_number": "724-538-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON AND RECTAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "LEVINSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "724-538-3330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD031375E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colon & Rectal Surgery Physician in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Colon & Rectal Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.