Slate Belt Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-007427L Issued in PA

Legal business name

SLATE BELT FAMILY PRACTICE PC

Practice address

826 S Broadway
Wind Gap, PA 18091-1628

Phone

(610) 863-3019

Fax

(610) 863-6732

NPI assigned

Jan 24, 2006

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wayne J Brotzman Jr., D.O.NPI 1295832012

Title

Physician

Phone

(610) 863-3019

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne J Brotzman Jr., D.O.

  • Family Medicine Physician
  • Wind Gap, PA
  • NPI 1295832012
  Medicare reassignment Care Compare group NPD Authorized official
• Michael S Depaolo, D.O.

  • Family Medicine Physician
  • Wind Gap, PA
  • NPI 1891892618
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1396715389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S BROADWAY",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911628",
            "telephone_number": "610-863-3019",
            "fax_number": "610-863-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S BROADWAY",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911628",
            "telephone_number": "610-863-3019",
            "fax_number": "610-863-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATE BELT FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BROTZMAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-863-3019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-007427L",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-006844L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Savercool
• Jessica Schreck, CRNP
• Harneet Sethi, MD
• Heather Lynn Sinclair, CRNP
• Rachel Singer, SLP
• St. Luke's Hospital Bethlehem (St. Luke's Care Now Wind Gap)
• St. Luke's Hosptial (St. Luke's Care Now - Wind Gap)
• St. Luke's Physician Group Inc (St. Luke's Family Practice Blue Valley)
• St. Luke's Physician Group, Inc. (Bushkill Family Practice)
• St. Luke's Physician Group, Inc. (St. Luke's Family Practice Wind Gap)

• Family Medicine Physician in Wind Gap, PA
• Providers in Wind Gap, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.