NPIMap

Individual provider Active NPI

Andrew Brackbill, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Allentown, PA
National Provider Identifier
1447455209
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD455998 Issued in PA
Practice address
1243 S Cedar Crest Blvd
Suite 2800
Allentown, PA 18103-6268
Phone
(610) 402-6790
Fax
(610) 402-6979
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD455998 PA Primary

Addresses

Primary practice location

1243 S Cedar Crest Blvd
Suite 2800
Allentown, PA 18103-6268

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001001459 PA Practitioner - Internal MedicinePractitioner - Endocrinology 3870815400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Jefferson Medical College of Thomas Jefferson University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1243 S Cedar Crest Blvd
2800 LVPG Endocrinology
Allentown, PA 18103-6230
Phone (610) 402-6790

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD455998PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 21, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 21, 2015 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Hazleton Professional Services CurrentSince Feb 1, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 1, 2019 Accepting new patients
Schuylkill Health System Medical Group, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2019 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients

Locations

1243 S Cedar Crest Blvd
Ste 2800
Allentown, PA 18103
Phone (610) 402-6790

50 Moisey Dr
Ste 109
Hazle Township, PA 18202
Phone (570) 501-6460

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3824 Northern Pike
Ste 600
Monroeville, PA 15146
Phone (412) 457-0175

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

205 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 622-1887

Interoperability endpoints

  • Direct secure messaging: abrackbill99857@direct2.lvhn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1447455209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S CEDAR CREST BLVD",
            "address_2": "SUITE 2800",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036268",
            "telephone_number": "610-402-6790",
            "fax_number": "610-402-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKBILL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD455998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.