Organization Active NPI

Concord Health Integrated

  • Internal Medicine Physician
  • Glen Mills, PA
National Provider Identifier
1336037878
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jun 24, 2025

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250707001010 PA Part B Supplier - Clinic/Group Practice 5991219610 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Mills, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2317580Concord Health Integrated PLLC145 Brinton Lake Rd, Suite 100, Glen Mills, PA 19342Certificate of waiverJan 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.