Active NPI
Bryan Andrew Botti, M.D.
- Sports Medicine (Family Medicine) Physician
- Philadelphia, PA
National Provider Identifier
1609262161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- MD463061
- Practice address
- 2418 E York St
Philadelphia, PA 19125-3006 - Phone
- (215) 385-3212
- Fax
- (215) 702-6374
- NPI assigned
- Apr 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD463061 | PA | Primary |
| Family Medicine Physician | 207Q00000X | MD463061 | PA |
Addresses
Primary practice location
2418 E York St
Philadelphia, PA 19125-3006
Mailing address
2418 E York St
Philadelphia, PA 19125-3006
Other practice location 1
135 S Bryn Mawr Ave Ste 200
Bryn Mawr, PA 19010-3129
Phone (610) 325-1390
Other names 1
- Dr. Bryan Botti
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
135 S Bryn Mawr Ave
Suite 200
Bryn Mawr, PA 19010-3129
Phone (610) 325-1390
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Multi-Specialty | Current | Accepting new patients |
| Athens Nutrition, LLC | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
135 S Bryn Mawr Ave
Ste 200
Bryn Mawr, PA 19010
Phone (610) 325-1390
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
Organizations & group practices 2
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.
-
- Registered Dietitian
- Ardmore, PA
- NPI 1073963955
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1609262161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 E YORK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 E YORK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253006",
"telephone_number": "215-385-3212",
"fax_number": "215-702-6374"
}
],
"practiceLocations": [
{
"address_1": "135 S Bryn Mawr Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Bryn Mawr",
"state": "PA",
"postal_code": "190103129",
"country_code": "US",
"telephone_number": "610-325-1390",
"fax_number": "610-325-1373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTTI",
"first_name": "BRYAN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-11",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "MD463061",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD463061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRYAN",
"last_name": "BOTTI",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}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 Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.