Individual provider Active NPI

Brian Joseph Sprandio, M.D.

  • Family Medicine Physician
  • Bryn Mawr, PA
National Provider Identifier
1356729503
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD465989 Issued in PA
Practice address
130 S Bryn Mawr Ave
B Wing, 1St Floor
Bryn Mawr, PA 19010
Phone
(484) 337-2580
NPI assigned
May 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD465989 PA Primary

Addresses

Primary practice location

130 S Bryn Mawr Ave
B Wing, 1St Floor
Bryn Mawr, PA 19010

Mailing address

30 Lawrence Rd
Ste 201
Broomall, PA 19008-3301
Phone (610) 492-5900

Other practice location 1

1991 Sproul Rd
Suite 300
Broomall, PA 19008-3512
Phone (610) 325-1390

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
I20190618003021 PA Practitioner - Hospice/Palliative CarePractitioner - Family Practice 8123309846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consultants in Medical Oncology and Hematology PCGroup PAC ID 2365413127, 9 clinicians

Practice addresses (Care Compare)

500 Evergreen Dr
Suite G4
Glen Mills, PA 19342-1032
Phone (610) 887-0303

Hospital & facility affiliations

  • Main Line Health Homecare & Hospice - Hospice Hospice, Radnor, PA, CCN 391583

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Medical Oncology & Hematology, PC CurrentSince Apr 25, 2021 Accepting new patients
Integrated Palliative Care, PC CurrentSince Jun 22, 2021 Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Jun 30, 2019 Accepting new patients

Locations

30 Lawrence Rd
Ste 201
Broomall, PA 19008
Phone (610) 492-5900

1991 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 325-1373

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

130 S Bryn Mawr Ave
Fl 1
Bryn Mawr, PA 19010
Phone (484) 337-2580

500 Evergreen Dr
Ste G4
Glen Mills, PA 19342
Phone (610) 887-0303

3855 West Chester Pike
Fl Cancer
Newtown Square, PA 19073

3885 W Chester Pike
Newtown Square, PA 19073

Organizations & group practices 3

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 1

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1356729503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LAWRENCE RD",
            "address_2": "STE 201",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083301",
            "telephone_number": "610-492-5900",
            "fax_number": "610-492-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "address_2": "B WING, 1ST FLOOR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "484-337-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Sproul Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190083512",
            "country_code": "US",
            "telephone_number": "610-325-1390",
            "fax_number": "610-325-1373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRANDIO",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD465989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.