Organization Active NPI

Broker,Cramer & Swanson ENT, PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Pottstown, PA
National Provider Identifier
1376276485
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
BROKER,CRAMER & SWANSON ENT, PC
Practice address
5 S Sunnybrook Rd Ste 300
Pottstown, PA 19464-3285
Phone
(610) 415-1100
Fax
(610) 415-1101
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Becky Manderach
Title
Credentialing
Phone
(610) 415-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0201X
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

5 S Sunnybrook Rd Ste 300
Pottstown, PA 19464-3285

Mailing address

826 Main St Ste 201
Phoenixville, PA 19460-4459
Phone (610) 415-1100

Other identifiers 1

IdentifierTypeStateIssuer
0017758550010MedicaidPA

Other names 1

  • ENT & ALLERGY SPECIALISTS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL eClinicalworks Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Broker Cramer and Swanson ENT PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

510 Township Line Rd
Ste 200
Blue Bell, PA 19422

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBIACA

Practitioners & affiliated clinicians

Practitioners 11

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": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1376276485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MAIN ST STE 201",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604459",
            "telephone_number": "610-415-1100",
            "fax_number": "610-415-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S SUNNYBROOK RD STE 300",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643285",
            "telephone_number": "610-415-1100",
            "fax_number": "610-415-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKER,CRAMER & SWANSON ENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "MANDERACH",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "610-415-1100"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017758550010",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eClinicalworks",
            "affiliation": "N",
            "endpointDescription": "Practice management software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 S Sunnybrook Rd Ste 300",
            "city": "Pottstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194643285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ENT & ALLERGY SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.