NPIMap

Organization Active NPI

Brandywine Center for Wellness

  • Neurology Physician
  • Wilmington, DE
National Provider Identifier
1669675484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1963 Issued in DE
Legal business name
BRANDYWINE CENTER FOR WELLNESS
Practice address
515 W 18TH St
Wilmington, DE 19802-4705
Phone
(302) 655-1437
Fax
(302) 655-1438
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Salvatore Muleh, M.D.
Title
President
Phone
(302) 655-1437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X 1963 DE Primary

Addresses

Primary practice location

515 W 18TH St
Wilmington, DE 19802-4705

Mailing address

515 W 18TH St
Wilmington, DE 19802-4705
Phone (302) 655-1437

Other identifiers 1

IdentifierTypeStateIssuer
0000432602MedicaidDE

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669675484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 18TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024705",
            "telephone_number": "302-655-1437",
            "fax_number": "302-655-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 18TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024705",
            "telephone_number": "302-655-1437",
            "fax_number": "302-655-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE CENTER FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULEH",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-655-1437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "1963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000432602",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.