Active NPI
Brian Samuel Silverman, DO
- Emergency Medicine Physician
- Philadelphia, PA
National Provider Identifier
1487617726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS004453L
- Practice address
- 5800 Ridge Ave
Philadelphia, PA 19128-1737 - Phone
- (215) 487-4334
- Fax
- (215) 254-2599
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MB05973700 | NJ | |
| Emergency Medicine Physician | 207P00000X | OS004453L | PA | Primary |
Addresses
Primary practice location
5800 Ridge Ave
Philadelphia, PA 19128-1737
Mailing address
101 E Olney Ave
Suite 400
Philadelphia, PA 19120-2421
Phone (215) 456-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6036007 | Medicaid | NJ | |
| OS004453L | Other | PA | LICENSE PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS004453L | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Health System Emergency Physician Services P a | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Elmer, NJ
- NPI 1306871314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1487617726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE",
"address_2": "SUITE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202421",
"telephone_number": "215-456-7000",
"fax_number": "215-254-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281737",
"telephone_number": "215-487-4334",
"fax_number": "215-254-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERMAN",
"first_name": "BRIAN",
"middle_name": "SAMUEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB05973700",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS004453L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6036007",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE PA",
"identifier": "OS004453L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.