Blair Regenerative Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLAIR REGENERATIVE MEDICINE LLC

Practice address

1381 Plank Rd Ste 102
Duncansville, PA 16635-8458

Phone

(814) 317-5074

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Darryl Keef Warner, DRNPI 1114029154

Title

Owner

Phone

(814) 317-5074

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Practitioners 4

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

• Maribeth Anne Mills, PT

  • Physical Therapist
  • Duncansville, PA
  • NPI 1255402475
  Medicare reassignment Care Compare group NPD
• Jenna N Rieg

  • Medical Physician Assistant
  • Altoona, PA
  • NPI 1003263922
  Medicare reassignment Care Compare group
• Michael Edward Cherian, M.D.

  • Emergency Medicine Physician
  • Punxsutawney, PA
  • NPI 1063772564
  Medicare reassignment NPD
• Darryl Keef Warner, D,C.

  • Sports Physician Chiropractor
  • Everett, PA
  • NPI 1114029154
  NPD Authorized official

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1629624689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 PLANK RD STE 102",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358458",
            "telephone_number": "814-317-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 PLANK RD STE 102",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358458",
            "telephone_number": "814-317-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "KEEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-317-5074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Bier, MSN, CRNP, PMHNP-BC
• Ellen Augusta Black, LCSW
• Blair County Drug and Alcohol Program Inc.
• Blair Medical Associates
• Blair Radiologic Associates LTD
• Katlin Rachelle Bodenschatz, MS-CCC SLP
• Angela Braatz, PA-C
• Abbigale M Bradley, BA
• Scott A Brandenberger, PA-C
• Breakaway Physical Therapy LLC

• Family Medicine Physician in Duncansville, PA
• Providers in Duncansville, 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 Aug 15, 2019; 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.