Individual provider Active NPI

Marcia S Brose, MD

  • Medical Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1316975451
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD063022L Issued in PA
Practice address
10800 Knights Rd FL 3
Philadelphia, PA 19114-4200
Phone
(215) 890-3030
Fax
(215) 890-3031
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD063022L PA
Medical Oncology Physician 207RX0202X MD063022L PA Primary

Addresses

Primary practice location

10800 Knights Rd FL 3
Philadelphia, PA 19114-4200

Mailing address

1101 Market St FL 30
Philadelphia, PA 19107-2934
Phone (215) 481-6836

Other identifiers 1

IdentifierTypeStateIssuer
0019057620001MedicaidPA

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
I20060215000106 PA Practitioner - Medical OncologyPractitioner - Internal Medicine 5092720821 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
JS Weill Medical College, Cornell University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 890-3030

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD063022LPAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Feb 12, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2001 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Jefferson University Physicians Otolaryngology CurrentSince Aug 30, 2021 Accepting new patients
Aria Health Physicain Services CurrentSince Aug 1, 2021 Accepting new patients
University of Penn-Medical Group Medical Oncology CurrentSince Jul 1, 2001 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services CurrentSince Aug 1, 2021 Accepting new patients
Aria Health Physician Services Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1001 Chesterbrook Blvd
Fl 2
Berwyn, PA 19312
Phone (610) 576-7500

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

3400 Spruce St
#15
Philadelphia, PA 19104
Phone (215) 573-2784

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

10800 Knights Rd
Fl 3
Philadelphia, PA 19114
Phone (215) 890-3030

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

10800 Knights Rd
#3
Philadelphia, PA 19114

3400 Spruce St
Fl 5
Philadelphia, PA 19104
Phone (215) 662-2777

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

3998 Red Lion Rd
Ste 235
Philadelphia, PA 19114
Phone (215) 632-3630

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

Organizations & group practices 10

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 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1316975451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MARKET ST FL 30",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072934",
            "telephone_number": "215-481-6836",
            "fax_number": "215-481-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200",
            "telephone_number": "215-890-3030",
            "fax_number": "215-890-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSE",
        "first_name": "MARCIA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD063022L",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD063022L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019057620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.