Brantz & Liedman Associates P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003987L Issued in PA

Legal business name

BRANTZ & LIEDMAN ASSOCIATES P.C.

Practice address

841 E Hunting Park Ave
Suite 110
Philadelphia, PA 19124-4800

Phone

(213) 535-4494

Fax

(215) 535-4203

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Richard Michael Brantz, D.O.

Title

President

Phone

(215) 535-4494

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1619922580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E HUNTING PARK AVE",
            "address_2": "SUITE 110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244800",
            "telephone_number": "213-535-4494",
            "fax_number": "215-535-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E HUNTING PARK AVE",
            "address_2": "SUITE 110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244800",
            "telephone_number": "213-535-4494",
            "fax_number": "215-535-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANTZ & LIEDMAN ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "BRANTZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-535-4494",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003987L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00712055",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07512394",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Paul Branson
• Ruby Branson, LCSW
• Danielle Erin Brant, CRNP
• Jenna Leigh Brant, M.S. CCC-SLP
• Kristen Nicole Brant, OTR/L
• Richard Michael Brantz, D.O.
• Arshpreet Kaur Brar
• Hirdepal Singh Brar
• Karlie Elizabeth Brasch, MD
• Kendal Brasch

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.