NPIMap

Individual provider Active NPI

Ann O Brotzman, DO

  • Internal Medicine Physician
  • Allentown, PA
National Provider Identifier
1306801337
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS008261L Issued in PA
Practice address
1230 S Cedar Crest Blvd Ste 201
Allentown, PA 18103
Phone
(610) 402-8950
Fax
(610) 402-1059
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008261L PA
Internal Medicine Physician 207R00000X OS008261L PA Primary

Addresses

Primary practice location

1230 S Cedar Crest Blvd Ste 201
Allentown, PA 18103

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-0684

Other practice location 1

305 W North St
Nazareth, PA 18064-1308
Phone (610) 759-2208

Other practice location 2

305 W North St
Nazareth, PA 18064-1308
Phone (610) 759-2208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331001000 PA Practitioner - Internal Medicine 5991831612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1230 S Cedar Crest Blvd
201 LVPG Internal Medicine
Allentown, PA 18103-6365
Phone (610) 402-8950

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital - Macungie Hospital, Macungie, PA, CCN 390430
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS008261LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince Dec 17, 2018 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Dec 17, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine CurrentSince Jan 1, 1966 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-8950

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2101 Emrick Blvd
Ste 100
Bethlehem, PA 18020
Phone (610) 868-4000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

305 W North St
Nazareth, PA 18064
Phone (610) 759-2208

Organizations & group practices 8

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1306801337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-0684",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STE 201",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-402-8950",
            "fax_number": "610-402-1059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W North St",
            "address_purpose": "LOCATION",
            "city": "Nazareth",
            "state": "PA",
            "postal_code": "180641308",
            "country_code": "US",
            "telephone_number": "610-759-2208",
            "fax_number": "610-759-2340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W North St",
            "address_purpose": "LOCATION",
            "city": "Nazareth",
            "state": "PA",
            "postal_code": "180641308",
            "country_code": "US",
            "telephone_number": "610-759-2208",
            "fax_number": "610-759-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROTZMAN",
        "first_name": "ANN",
        "middle_name": "O",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008261L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008261L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.