Devon Family Practice LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEVON FAMILY PRACTICE LLP

Practice address

139 Berkeley Road
Devon, PA 19333-1544

Phone

(610) 687-0715

Fax

(610) 964-1228

NPI assigned

Sep 22, 2006

Last updated

Jun 11, 2025By 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

Teresa Ann Gruener

Title

Bookkeeper

Phone

(610) 971-3730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFDDBA

Practitioners 8

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.

• Conor Gerard Bradley, MD

  • Family Medicine Physician
  • Wayne, PA
  • NPI 1194466987
  Medicare reassignment Care Compare group NPD
• Rocco Jason Costabile, MD

  • Family Medicine Physician
  • Devon, PA
  • NPI 1962653998
  Medicare reassignment Care Compare group NPD
• Kyle L Forsyth, MD

  • Family Medicine Physician
  • Devon, PA
  • NPI 1629183033
  Medicare reassignment Care Compare group NPD
• Gregory T Narzikul, MD

  • Family Medicine Physician
  • Devon, PA
  • NPI 1770698185
  Medicare reassignment Care Compare group NPD
• Robert W Priem, MD

  • Family Medicine Physician
  • Devon, PA
  • NPI 1598870909
  Medicare reassignment Care Compare group NPD
• Beck Soderberg, MD

  • Family Medicine Physician
  • Devon, PA
  • NPI 1205925682
  Medicare reassignment Care Compare group NPD
• John Vincent Cugini, DO

  • Family Medicine Physician
  • Holloman Air Force Base, NM
  • NPI 1326501636

  PA

  Medicare reassignment Care Compare group NPD
• Janice Perido, PA-C

  • Medical Physician Assistant
  • Holloman AFB, NM
  • NPI 1558797241

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1487753547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BERKELEY ROAD",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331544",
            "telephone_number": "610-687-0715",
            "fax_number": "610-964-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BERKELEY ROAD",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331544",
            "telephone_number": "610-687-0715",
            "fax_number": "610-964-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON FAMILY PRACTICE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "GRUENER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "610-971-3730"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Davis, RN
• Kristine B Decena, RN
• Delaware Valley Wound Care Specialists LLC
• Devereux Foundation
• Devon Dermatology Services, PC
• Devon Manor-Devon PA LLC (Devon Manor)
• Dine Monte Nido, LLC
• Theresa Christina Disipio
• Vincent James Distefano, MD
• Monique Dixon, LPN

• Family Medicine Physician in Devon, PA
• Providers in Devon, 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 Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.