Brookline Medical Assoc PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

039737 L Issued in PA

Legal business name

BROOKLINE MEDICAL ASSOC PC

Practice address

519 Brookline Boulevard
Pittsburgh, PA 15226

Phone

(412) 341-2793

Fax

(412) 341-1622

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Thaddeus Andrew Grey, MD

Title

President

Phone

(412) 341-2743

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356561948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BROOKLINE BOULEVARD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15226",
            "telephone_number": "412-341-2793",
            "fax_number": "412-341-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BROOKLINE BOULEVARD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15226",
            "telephone_number": "412-341-2793",
            "fax_number": "412-341-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE MEDICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-341-2743",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "039737 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP DEPT OF LABOR",
            "identifier": "11971700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "CF7041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CF7041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Bronzo
• Erin N Broocker
• Brookdale Living Communities of Pennsylvania-ML, Inc.
• Grace Hatcher Brooker, LSW
• Laura S Brookfield, MD
• Bozena Brooks Larsen
• Brandy D'Anne Brooks, CNM, DNP
• Brianna Marie Brooks
• Christina Brooks
• Deborah Brooks

• Family Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.