NPIMap

Individual provider Active NPI

Francis J Braconaro, MD

  • Internal Medicine Physician
  • Lehighton, PA
National Provider Identifier
1558349167
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD014503E Issued in PA
Practice address
2226 Blakeslee Boulevard Dr E Ste 200
Lehighton, PA 18235-9619
Phone
(484) 224-9700
NPI assigned
Jan 4, 2006
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD014503E PA
Internal Medicine Physician 207R00000X MD014503E PA Primary

Addresses

Primary practice location

2226 Blakeslee Boulevard Dr E Ste 200
Lehighton, PA 18235-9619

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

528 Delaware Ave
Palmerton, PA 18071-1911
Phone (610) 434-9561

Other practice location 2

31 S Main St
Mahanoy City, PA 17948-2647
Phone (570) 773-3042

Other identifiers 3

IdentifierTypeStateIssuer
152308OtherPABLUE SHIELD
0006357980005MedicaidPA
50046146OtherPACAPITAL BLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fbraconaro133789@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419001122 PA Practitioner - Internal MedicinePractitioner - Emergency Medicine 9335187582 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

528 Delaware Ave
Palmerton, PA 18071-1911
Phone (610) 900-4950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD014503EPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Nov 14, 2022 Accepting new patients
Geisinger Clinic CurrentSince Jul 5, 2016 Accepting new patients
Geisinger Clinic Current Accepting new patients
Lehigh Valley Physician Group Emergency Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Jul 5, 2016 Accepting new patients
Lehigh Valley Physician Group Internal Medicine CurrentSince Nov 14, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 22, 2022 Accepting new patients
Hazleton Professional Services Internal Medicine Current Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

100 N Academy Ave
Danville, PA 17822

701 W Oak St
Frackville, PA 17931
Phone (570) 874-4100

1000 Alliance Dr
Hazleton, PA 18202
Phone (570) 501-6400

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

1100 Spruce St
Ste 100
Kulpmont, PA 17834
Phone (570) 373-2100

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

2226 Blakeslee Boulevard Dr E
#200
Lehighton, PA 18235
Phone (484) 224-9700

31 S Main St
Mahanoy City, PA 17948
Phone (570) 773-3042

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

529 Terry Reiley Way
Pottsville, PA 17901
Phone (570) 624-4120

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500

Interoperability endpoints

  • Direct secure messaging: fbraconaro105393@direct2.lvhn.org
  • Direct secure messaging: fbraconaro133789@direct.geisinger.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1558349167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 BLAKESLEE BOULEVARD DR E STE 200",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182359619",
            "telephone_number": "484-224-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Palmerton",
            "state": "PA",
            "postal_code": "180711911",
            "country_code": "US",
            "telephone_number": "610-434-9561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 S Main St",
            "address_purpose": "LOCATION",
            "city": "Mahanoy City",
            "state": "PA",
            "postal_code": "179482647",
            "country_code": "US",
            "telephone_number": "570-773-3042",
            "fax_number": "570-773-3041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACONARO",
        "first_name": "FRANCIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD014503E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD014503E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "152308",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006357980005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50046146",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fbraconaro133789@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "31 S Main St",
            "city": "Mahanoy City",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179482647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.