Organization Active NPI

Eye and Facial Plastic Surgery Consultants LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Langhorne, PA
National Provider Identifier
1609353291
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
EYE AND FACIAL PLASTIC SURGERY CONSULTANTS LLC
Practice address
1203 Newtown-Langhorne Road
Suite 120
Langhorne, PA 19047
Phone
(215) 750-9400
Fax
(215) 750-7400
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Dr. Alan B Brackup, MDNPI 1417059908
Title
MD Owner
Phone
(215) 750-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0200X Primary

Addresses

Primary practice location

1203 Newtown-Langhorne Road
Suite 120
Langhorne, PA 19047

Mailing address

1111 Schrock Rd Ste 200
Columbus, OH 43229-1155
Phone (614) 502-7240

Other practice location 1

610 W Germantown Pike Ste 161
Plymouth Meeting, PA 19462-1050
Phone (610) 828-8880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1609353291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SCHROCK RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291155",
            "telephone_number": "614-502-7240",
            "fax_number": "866-209-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 NEWTOWN-LANGHORNE ROAD",
            "address_2": "SUITE 120",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-750-9400",
            "fax_number": "215-750-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 W Germantown Pike Ste 161",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621050",
            "country_code": "US",
            "telephone_number": "610-828-8880",
            "fax_number": "610-828-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE AND FACIAL PLASTIC SURGERY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "BRACKUP",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "215-750-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.