Individual provider Active NPI

Bryanne Robson, M.D.

  • Family Medicine Physician
  • Glen Mills, PA
National Provider Identifier
1386905230
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD453794 Issued in PA
Practice address
1786 Wilmington W Chester Pike Ste 202a
Glen Mills, PA 19342-8198
Phone
(610) 557-8903
Fax
(610) 486-3019
NPI assigned
Jun 6, 2012
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT201249 PA
Family Medicine Physician 207Q00000X C1-0012677 DE
Family Medicine Physician 207Q00000X MD453794 PA Primary

Addresses

Primary practice location

1786 Wilmington W Chester Pike Ste 202a
Glen Mills, PA 19342-8198

Mailing address

1786 Wilmington W Chester Pike Ste 202a
Glen Mills, PA 19342-8198
Phone (610) 557-8903

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
I20250311003071 PA Order and Referring Only - Family PracticePractitioner - Family Practice 0840501052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT201249PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Core Family Practice Family Medicine CurrentSince Jan 5, 2025 Accepting new patients
Delaware County Womens Center Past Accepting new patients

Locations

1786 Wilmington W Chester Pike
Ste 202A
Glen Mills, PA 19342
Phone (610) 557-8903

Interoperability endpoints

  • Direct secure messaging: bryanne.robson@107234456698884.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1386905230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON W CHESTER PIKE STE 202A",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428198",
            "telephone_number": "610-557-8903",
            "fax_number": "610-486-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON W CHESTER PIKE STE 202A",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428198",
            "telephone_number": "610-557-8903",
            "fax_number": "610-486-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBSON",
        "first_name": "BRYANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT201249",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0012677",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.