Organization Active NPI

Havertown Radiosurgery Center PC

  • Radiation Oncology Physician
  • Havertown, PA
National Provider Identifier
1427123793
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
HAVERTOWN RADIOSURGERY CENTER PC
Practice address
2010 W Chester Pike
Ste 115
Havertown, PA 19083-2700
Phone
(610) 446-6850
Fax
(610) 446-6852
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luther Weldon Brady Jr., MD
Title
Co-Owner
Phone
(610) 446-6850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

2010 W Chester Pike
Ste 115
Havertown, PA 19083-2700

Mailing address

2010 W Chester Pike
Ste 115
Havertown, PA 19083-2700
Phone (610) 446-6850

Other names 1

  • Cyberknife Center of Philadelphia Doing business as

National Provider Directory

National Provider Directory

Locations

2010 W Chester Pike
Ste 115
Havertown, PA 19083
Phone (610) 446-6850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427123793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE",
            "address_2": "STE 115",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832700",
            "telephone_number": "610-446-6850",
            "fax_number": "610-446-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE",
            "address_2": "STE 115",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832700",
            "telephone_number": "610-446-6850",
            "fax_number": "610-446-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERTOWN RADIOSURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_middle_name": "WELDON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "610-446-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cyberknife Center of Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.