Delaware Sports Medicine, LLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

Legal business name

DELAWARE SPORTS MEDICINE, LLC

Practice address

3920 Dupont Pkwy Ste B
Townsend, DE 19734-9000

Phone

(302) 792-7222

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Sylvia Canteen-Brown

Title

Practice Manager

Phone

(302) 792-7222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

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

• Bradley Bley, D.O.

  • Sports Medicine (Internal Medicine) Physician
  • Townsend, DE
  • NPI 1003944406
  Medicare reassignment NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1679359160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 DUPONT PKWY STE A",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349000",
            "telephone_number": "302-792-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUPONT PKWY STE B",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349000",
            "telephone_number": "302-792-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 Foulk Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198032788",
            "country_code": "US",
            "telephone_number": "302-792-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELAWARE SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "CANTEEN-BROWN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "302-792-7222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200128629",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Cosner
• Crosspoint Mental & Behavioral Health LLC
• Franklin Russel Crowe, RPH
• Shirley Ann Dailey
• Delaware Pediatrics
• Jill K Dugar, FNP
• Jeffrey Egbert, FNP
• Morgan Ehart, LCSW
• Embrace the Journey
• Stacey L. Farraday, LPCMH

• Sports Medicine (Internal Medicine) Physician in Townsend, DE
• Providers in Townsend, DE by specialty
• Sports Medicine (Internal Medicine) Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.