Tran Tran Brough, PHYSICIAN ASSISTANT
Individual provider Active NPI Physician Assistant · Springfield, PA
NPI 1508465840 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1508465840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA062043 (PA)
- Practice address
- 417 Baltimore Pike
Springfield, PA 19064-3810 - Phone
- (484) 470-2600
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Patient First Pennsylvania Medical Group PLLC
Practice addresses (Care Compare)
119 Shoemaker Rd
Pottstown, PA 19464-6429
Phone (610) 427-4919
133 Lancaster Ave
Devon, PA 19333-1503
Phone (484) 581-2990
1411 S Collegeville Rd
Collegeville, PA 19426-2957
Phone (484) 902-1893
400 E Germantown Pike
East Norriton, PA 19401-6506
Phone (610) 994-0063
417 Baltimore Pike
Springfield, PA 19064-3810
Phone (484) 470-2600
5125 Jonestown Rd
Suite 105
Harrisburg, PA 17112-2987
Phone (717) 943-1566
713 Bethlehem Pike
Montgomeryville, PA 18936-9602
Phone (267) 695-3944
75 E St Rd
Feasterville Trevose, PA 19053-6047
Phone (267) 684-1047
938 Old York Rd
Abington, PA 19001-4703
Phone (267) 620-0237
967 E Lancaster Ave
Downingtown, PA 19335-3328
Phone (484) 593-5160
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210415002965 | PA | Practitioner - Physician Assistant | 6507271319 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA062043 | PA | MD | Physician Assistant |
| OA005408 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient First Pennsylvania Medical Group PLLC | Current |
Accepting new patients | |
| Patient First Pennsylvania Medical Group PLLC | Current |
Accepting new patients |
Locations
100 Lincoln Hwy
Fairless Hills, PA 19030
Phone (267) 587-0775
5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566
713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944
417 Baltimore Pike
Springfield, PA 19064
Phone (484) 470-2600
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
Interoperability endpoints
- paexchange@patientfirstclinics.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00606600 | NJ | |
| Physician Assistant | 363A00000X | OA005408 | PA | |
| Physician Assistant | 363A00000X | MA062043 | PA | Yes |
Addresses
Primary practice location
417 Baltimore Pike
Springfield, PA 19064-3810
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700
Other practice location 1
630 Mantua Pike
Woodbury, NJ 08096-3233
Phone (856) 812-2220
Other practice location 2
2941 Hillside Rd
Broomall, PA 19008-1304
Phone (407) 409-6307
Other names
- Tran Quyen Tran
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NJExchange@patientfirstclinics.com | ||
| Direct Messaging Address | PAExchange@patientfirstclinics.com | Health Information Exchange (HIE) |
Other providers in Springfield, PA
- James J. Bresnahan
- Bridgeline Health, LLC
- Teresa Brieck
- Richard L Brilliant
- Gabrielle Brooks
- Abigail Brown
- Colleen Brown
- Melissa P Broyles
- Eileen Elizabeth Brumbaugh
- Deneen Brusamonti
All providers in Springfield, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.