Individual provider Active NPI

Laurence D Fine, M.D.

  • Neurology Physician
  • Bryn Mawr, PA
National Provider Identifier
1396776985
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD428603 Issued in PA
Practice address
825 Old Lancaster Rd Ste 370
Bryn Mawr, PA 19010-3238
Phone
(610) 527-8140
Fax
(610) 527-4956
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD428603 PA Primary

Addresses

Primary practice location

825 Old Lancaster Rd Ste 370
Bryn Mawr, PA 19010-3238

Mailing address

825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3231
Phone (610) 527-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MN, AL, IL, LA, OK, IA, KS, SD9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20060928000107 PA Practitioner - NeurologyPractitioner - Cardiovascular Disease (Cardiology) 2264437169 Reassigns benefits to 2 organizations
I20260526001796 MN Practitioner - Neurology 2264437169 Reassigns benefits to 1 organization
I20260527004076 AL Practitioner - Neurology 2264437169 Reassigns benefits to 1 organization
I20260528001182 IL Practitioner - Neurology 2264437169 Reassigns benefits to 1 organization
I20260605000545 LA Practitioner - Neurology 2264437169 Reassigns benefits to 1 organization
I20260607000086 OK Practitioner - Neurology 2264437169 Reassigns benefits to 1 organization
I20260610002222 IA Practitioner - Neurology 2264437169 Reassigns benefits to 1 organization
I20260616000795 KS Practitioner - Neurology 2264437169 Reassigns benefits to 1 organization
I20260626004467 SD Practitioner - Neurology 2264437169 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Medical Specialists Association CurrentSince Jul 17, 2006 Accepting new patients
Bmmsa Heart & Vascular Center of the Main Line CurrentSince Aug 24, 2022 Accepting new patients

Locations

825 Old Lancaster Rd
Ste 370
Bryn Mawr, PA 19010
Phone (610) 527-8140

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

955 E Haverford Rd
Ste 100
Bryn Mawr, PA 19010
Phone (610) 527-3800

Interoperability endpoints

  • Direct secure messaging: laurence.fine@bmmsa.directbygreenway.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1396776985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD",
            "address_2": "SUITE 320",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103231",
            "telephone_number": "610-527-3800",
            "fax_number": "610-527-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 370",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103238",
            "telephone_number": "610-527-8140",
            "fax_number": "610-527-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "LAURENCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-08-09",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD428603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.