Active NPI
Donna L Brian, CRNP
- Women's Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1568427409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- TP001559G
- Practice address
- 1035 W Berks St
Philadelphia, PA 19122-1909 - Phone
- (215) 765-6690
- Fax
- (215) 765-6694
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | TP001559G | PA | Primary |
Addresses
Primary practice location
1035 W Berks St
Philadelphia, PA 19122-1909
Mailing address
1035 W Berks St
Philadelphia, PA 19122-1909
Phone (215) 765-6690
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30027028 | Other | PA | KEYSTONE MERCY HEALTH PLAN |
| 0016148810001 | Medicaid | PA | |
| 2268261000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 1488022 | Other | PA | AETNA |
| 1590244 | Other | PA | BLUE CROSS & BLUE SHIELD |
| 17667 | Other | PA | BRAVO HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP001559G | PA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1568427409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 W BERKS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191221909",
"telephone_number": "215-765-6690",
"fax_number": "215-765-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 W BERKS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191221909",
"telephone_number": "215-765-6690",
"fax_number": "215-765-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIAN",
"first_name": "DONNA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "TP001559G",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLAN",
"identifier": "30027028",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016148810001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2268261000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1488022",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "1590244",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO HEALTH",
"identifier": "17667",
"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 Aug 10, 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.