Jill Galinus Brazelton, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD426018 Issued in PA

Practice address

690 West Lincoln Highway
Chester County Pediatrics
Exton, PA 19341

Phone

(610) 873-5437

Fax

(484) 879-6395

NPI assigned

Nov 22, 2005

Last updated

Mar 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbrazelton215595@direct-lghealth.org

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.

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  Medicare reassignment NPD
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• Lancaster General Medical Group

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  • NPI 1306724570
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• Chester County Pediatrics

  • Pediatrics Physician
  • Downington, PA
  • NPI 1407880263
  NPD (past)
• Lancaster General Hospital

  • General Acute Care Hospital
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  • NPI 1104875103
  NPD (past)
• Lancaster General Medical Group

  dba Penn Medicine LGHP Family Medicine Strasburg

  • Family Medicine Physician
  • Strasburg, PA
  • NPI 1316912785
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1407839640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 WEST LINCOLN HIGHWAY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-873-5437",
            "fax_number": "484-879-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 WEST LINCOLN HIGHWAY",
            "address_2": "CHESTER COUNTY PEDIATRICS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-873-5437",
            "fax_number": "484-879-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZELTON",
        "first_name": "JILL",
        "middle_name": "GALINUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD426018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101461328",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Catherine Alexis Briggs, LAPC
• Casey Ann Briglia, MS.ED., LPC
• Lisa Briskin, OTR/L
• Jasmine Taylor Broadnax, BSL

• Pediatrics Physician in Exton, PA
• Providers in Exton, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.