Brandywine Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C10003339 Issued in DE

Legal business name

BRANDYWINE FAMILY MEDICINE, PA

Practice address

2500 Grubb Rd
Suite 212
Wilmington, DE 19810-4799

Phone

(302) 475-5000

Fax

(302) 475-5200

NPI assigned

Aug 18, 2006

Organization subpart

No

Name

Valerie A. Elener, M.D.NPI 1801900816

Title

Owner

Phone

(302) 475-5000

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

• Valerie A Elener, M.D.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1801900816

  DE

  Medicare reassignment Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4292/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2013.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1619081627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD",
            "address_2": "SUITE 212",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104799",
            "telephone_number": "302-475-5000",
            "fax_number": "302-475-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD",
            "address_2": "SUITE 212",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104799",
            "telephone_number": "302-475-5000",
            "fax_number": "302-475-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "ELENER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-475-5000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10003339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000712202",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandywine Chiropractic
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• Brandywine Counseling & Community Services, Inc.
• Brandywine Eye Center P.a.
• Brandywine Eye Center PA
• Brandywine Foot Care
• Brandywine Health and Wellness LLC
• Brandywine Hearing Center
• Brandywine Hundred Family Medicine, LLC
• Brandywine Hundred Fire Co. No. 1

• All providers in Wilmington, DE
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.