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

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, MD

Title

Pres/Owner

Phone

(724) 538-3330

Specialties & licenses 1

Addresses

Locations

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.