Individual provider Active NPI

Misha H Briere, DO

  • Sports Medicine (Internal Medicine) Physician
  • Havertown, PA
National Provider Identifier
1396056941
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
OS018555 Issued in PA
Practice address
525 W Chester Pike Ste 203
Havertown, PA 19083-4540
Phone
(610) 789-7767
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS018555 PA
Primary Care Clinic/Center 261QP2300X
Sports Medicine (Internal Medicine) Physician 207RS0010X OS018555 PA Primary

Addresses

Primary practice location

525 W Chester Pike Ste 203
Havertown, PA 19083-4540

Mailing address

PO Box 5228
West Chester, PA 19380-0405
Phone (610) 359-5672

Other practice location 1

4190 City Avenue
PCOM Rowland Hall 409
Philadelphia, PA 19131
Phone (215) 871-6646

Other identifiers 1

IdentifierTypeStateIssuer
1396056941OtherNPI

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
I20240223003162 PA Practitioner - Sports Medicine 0244473353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Sports Medicine Associates, LTDGroup PAC ID 5890681092, 218 clinicians

Practice addresses (Care Compare)

525 W Chester Pike
Suite 203
Havertown, PA 19083-4540
Phone (610) 789-7767

Hospital & facility affiliations

  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS018555PAMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Sports Medicine CurrentSince Mar 1, 2024 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

931 E Haverford Rd
Ste 200
Bryn Mawr, PA 19010
Phone (610) 520-6170

510 Darby Rd
Havertown, PA 19083
Phone (610) 449-6499

525 W Chester Pike
Ste 101A
Havertown, PA 19083
Phone (610) 449-2000

525 W Chester Pike
Ste 203
Havertown, PA 19083
Phone (610) 789-1425

Interoperability endpoints

  • Direct secure messaging: misha.briere.1@22724.direct.athenahealth.com

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 2

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1396056941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5228",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193800405",
            "telephone_number": "610-359-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE STE 203",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834540",
            "telephone_number": "610-789-7767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4190 City Avenue",
            "address_2": "PCOM Rowland Hall 409",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19131",
            "country_code": "US",
            "telephone_number": "215-871-6646",
            "fax_number": "215-871-6695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIERE",
        "first_name": "MISHA",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS018555",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS018555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396056941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.