Individual provider Active NPI

Steven C Wilbraham, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1366485864
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD058668L Issued in PA
Practice address
5843 Rising Sun Ave
Philadelphia, PA 19120-1144
Phone
(215) 437-0128
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 MD058668L PA Primary

Addresses

Primary practice location

5843 Rising Sun Ave
Philadelphia, PA 19120-1144

Mailing address

PO Box 746722
Atlanta, GA 30374-6722

Other practice location 1

2601 Holme Ave
Philadelphia, PA 19152-2096
Phone (215) 335-7606

Other identifiers 1

IdentifierTypeStateIssuer
001594321MedicaidPA

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
I20031203000287 PA Practitioner - Family PracticePractitioner - Internal Medicine 6305741356 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc. CurrentSince Feb 6, 2024 Accepting new patients
Absolutecare of Philadelphia, LLC CurrentSince Jun 17, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Feb 6, 2024 Accepting new patients
Osh - PA Physicians Group, PC Family Medicine CurrentSince Jul 2, 2023 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Absolutecare of Philadelphia, LLC CurrentSince Jun 17, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. Family Medicine Past Accepting new patients
Penn State Health Medical Group, LLC Family Medicine Past Accepting new patients

Locations

10175 Little Patuxent Pkwy
Ste 800
Columbia, MD 21044

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1080 N Delaware Ave
Philadelphia, PA 19125
Phone (215) 287-2114

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5843 Rising Sun Ave
Philadelphia, PA 19120
Phone (215) 437-0128

1080 N Delaware Ave
Ste 800
Philadelphia, PA 19125
Phone (267) 463-5800

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1366485864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5843 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201144",
            "telephone_number": "215-437-0128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Holme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522096",
            "country_code": "US",
            "telephone_number": "215-335-7606",
            "fax_number": "215-335-7608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBRAHAM",
        "first_name": "STEVEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD058668L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001594321",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.