Deanna R. Brasile, DO

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

OS012004 Issued in PA

Practice address

825 Old Lancaster Rd Ste 170
Bryn Mawr, PA 19010-3234

Phone

(610) 527-0800

Fax

(610) 527-9868

NPI assigned

Nov 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Main Line Fertility Clinic PC

  • Reproductive Endocrinology Physician
  • Bryn Mawr, PA
  • NPI 1932834082
  NPD (past)
• CHC Pain Management Center, PA

  • Pain Medicine (Anesthesiology) Physician
  • Camden, NJ
  • NPI 1538109913
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1457334047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631790",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631790",
            "telephone_number": "615-550-4900",
            "fax_number": "615-550-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 170",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103234",
            "telephone_number": "610-527-0800",
            "fax_number": "610-527-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Old Fern Hill Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193803434",
            "country_code": "US",
            "telephone_number": "610-840-1500",
            "fax_number": "610-840-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASILE",
        "first_name": "DEANNA",
        "middle_name": "R.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS012004",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB07415400",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "25MB07415400",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "OS012004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley C Norford PHD PC
• Madeline Rose Bradley
• Margot Bradley, CRNP
• Jason H Brajer, M.D.
• Rebecca Anne Bramen, CRNP
• Kenneth Braun, MD
• Julia Bravo, MD
• Lindsay Maxwell Breeden, PH.D.
• Robin Brehm, MD
• Katelynn Rose Brennan, CRNP

• Reproductive Endocrinology Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Reproductive Endocrinology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.