NPIMap

Organization Active NPI

Family Medicine Associates of York, LLC

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1386735744
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-012651 Issued in PA
Legal business name
FAMILY MEDICINE ASSOCIATES OF YORK, LLC
Practice address
54 S Forrest St
York, PA 17404-5550
Phone
(717) 792-1811
Fax
(717) 792-3669
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Dr. Douglas Wesley Brenneman, D.O.NPI 1669468831
Title
Physician
Phone
(717) 792-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X OS-012261 PA
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X OS-012651 PA Primary

Addresses

Primary practice location

54 S Forrest St
York, PA 17404-5550

Mailing address

54 S Forrest St
York, PA 17404-5550
Phone (717) 792-1811

National Provider Directory

National Provider Directory

Locations

2500 Delta Rd
Brogue, PA 17309
Phone (717) 927-8434

Practitioners & affiliated clinicians

Practitioners 2

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1386735744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 S FORREST ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174045550",
            "telephone_number": "717-792-1811",
            "fax_number": "717-792-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 S FORREST ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174045550",
            "telephone_number": "717-792-1811",
            "fax_number": "717-792-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "BRENNEMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-792-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-012261",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-012651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.