Active NPI
Concord Health Integrated
- Internal Medicine Physician
- Glen Mills, PA
National Provider Identifier
1336037878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CONCORD HEALTH INTEGRATED
- Practice address
- 145 Brinton Lake Rd Ste 100
Glen Mills, PA 19342-1285 - Phone
- (484) 371-2974
- NPI assigned
- Jun 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fendy Pierre, MD
- Title
- Owner
- Phone
- (484) 371-7924
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
145 Brinton Lake Rd Ste 100
Glen Mills, PA 19342-1285
Mailing address
145 Brinton Lake Rd Ste 100
Glen Mills, PA 19342-1285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2317580 | Concord Health Integrated PLLC | Certificate of waiver | Jan 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
145 Brinton Lake Rd
Ste 100
Glen Mills, PA 19342
Phone (484) 371-2974
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1336037878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 BRINTON LAKE RD STE 100",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 BRINTON LAKE RD STE 100",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421285",
"telephone_number": "484-371-2974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORD HEALTH INTEGRATED",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A",
"authorized_official_last_name": "PIERRE",
"authorized_official_first_name": "FENDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "484-371-7924",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.