Brockway Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BROCKWAY FAMILY PRACTICE LLC

Practice address

1100 Main St
Brockway, PA 15824-0219

Phone

(814) 268-3645

Fax

(814) 265-1795

NPI assigned

Apr 5, 2021

Last updated

Apr 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James E Devlin, MDNPI 1306954722

Title

Provider

Phone

(814) 268-3645

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Edward Devlin, M.D.

  • Family Medicine Physician
  • Brockway, PA
  • NPI 1306954722
  NPD Authorized official

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1467031773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158240219",
            "telephone_number": "814-268-3645",
            "fax_number": "814-265-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158240219",
            "telephone_number": "814-268-3645",
            "fax_number": "814-265-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKWAY FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "814-268-3645",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy London Bittner, PT
• Jacient D. Bray, R. PH.
• Jack Britten, DMD
• Brockway Area Ambulance Service, Inc
• Brockway Area School District
• Matthew T Carroll, DPT
• Clearfield-Jefferson MHMR Program
• Clearfield-Jefferson MHMR Program
• Clearfield-Jefferson MHMR Program
• Clearfield-Jefferson MHMR Program

• Family Medicine Physician in Brockway, PA
• Providers in Brockway, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.