NPIMap

Organization Active NPI

Gwynedd Family Medicine, LLC

  • Family Medicine Physician
  • Chalfont, PA
National Provider Identifier
1619014933
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GWYNEDD FAMILY MEDICINE, LLC
Practice address
1600 Horizon Dr
Suite 117
Chalfont, PA 18914-4100
Phone
(215) 997-9737
Fax
(215) 997-9738
NPI assigned
Jan 30, 2007
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Dr. Brett S. Fissel, MDNPI 1215970694
Title
Owner
Phone
(215) 997-9737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1600 Horizon Dr
Suite 117
Chalfont, PA 18914-4100

Mailing address

1600 Horizon Dr
Suite 117
Chalfont, PA 18914-4100
Phone (215) 997-9737

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1619014933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HORIZON DR",
            "address_2": "SUITE 117",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189144100",
            "telephone_number": "215-997-9737",
            "fax_number": "215-997-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HORIZON DR",
            "address_2": "SUITE 117",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189144100",
            "telephone_number": "215-997-9737",
            "fax_number": "215-997-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWYNEDD FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "FISSEL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-997-9737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.