Bryn Mawr Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRYN MAWR PRIMARY CARE LLC

Practice address

735 Old Lancaster Rd
Bryn Mawr, PA 19010-3414

Phone

(610) 520-1127

Fax

(610) 520-1143

NPI assigned

Feb 7, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Winifred A. Constable, MDNPI 1770897282

Title

Owner

Phone

(610) 520-1127

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Winifred Constable, M.D.

  • Internal Medicine Physician
  • Bryn Mawr, PA
  • NPI 1770897282
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1336445592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 OLD LANCASTER RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103414",
            "telephone_number": "610-520-1127",
            "fax_number": "610-520-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 OLD LANCASTER RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103414",
            "telephone_number": "610-520-1127",
            "fax_number": "610-520-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "CONSTABLE",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-520-1127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102639968-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryn Mawr Nephrology Assoc. LTD
• Bryn Mawr Orthodontics PLLC
• Bryn Mawr Periodontal Associates PC
• Bryn Mawr Periodontal Associates, LTD.
• Bryn Mawr Personalized Primary Care
• Bryn Mawr Psychological Services
• Bryn Mawr Sports Medicine and Rehabilitation (Bryn Mawr Sports Rehab. Inc)
• Bryn Mawr Surgery Center LLC (Orthopaedic Surgery Center at Bryn Mawr Hospital)
• Bryn Mawr Surgery Center LLC (Orthopaedic Surgery Center at Bryn Mawr Hospital)
• Bryn Mawr Surgical Institute, Inc

• Internal Medicine Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.