Active NPI
Wayne J Brotzman Jr., D.O.
- Family Medicine Physician
- Wind Gap, PA
National Provider Identifier
1295832012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS007427L
- Practice address
- 826 S Broadway
Wind Gap, PA 18091-1628 - Phone
- (610) 863-3019
- Fax
- (610) 863-6732
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS007427L | PA | Primary |
Addresses
Primary practice location
826 S Broadway
Wind Gap, PA 18091-1628
Mailing address
826 S Broadway
Wind Gap, PA 18091-1628
Phone (610) 863-3019
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080319000375 | PA | Practitioner - Family Practice | 3678659489 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Slate Belt Family Practice PC
Practice addresses (Care Compare)
826 S Broadway
Wind Gap, PA 18091-1628
Phone (610) 863-3019
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Centerwell Home Health
- St Lukes Hospital
- Lehigh Valley Hospital
- Lehigh Valley Hospital - Pocono
- St Luke'S Hospital - Monroe Campus
- Good Shepherd Rehabilitation Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.59 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.32
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007427L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slate Belt Family Practice PC | Family Medicine | Current | Accepting new patients |
Locations
826 S Broadway
Wind Gap, PA 18091
Phone (610) 863-3019
Interoperability endpoints
- drbrotzman@slatebeltfamilypractice.medentdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Wind Gap, PA
- NPI 1396715389
Family Medicine, PA
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Allentown, PA
- NPI 1942571617
-
- Home Health Agency
- Stroudsburg, PA
- NPI 1023042264
-
- Rehabilitation Hospital
- Center Valley, PA
- NPI 1255374799
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1295832012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 S BROADWAY",
"city": "WIND GAP",
"state": "PA",
"postal_code": "180911628",
"telephone_number": "610-863-3019",
"fax_number": "610-863-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 S BROADWAY",
"city": "WIND GAP",
"state": "PA",
"postal_code": "180911628",
"telephone_number": "610-863-3019",
"fax_number": "610-863-6732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTZMAN",
"first_name": "WAYNE",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS007427L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wind Gap, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.