Organization Active NPI

John F. Brabazon

  • Family Medicine Physician
  • Ephrata, PA
National Provider Identifier
1689832776
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004376L Issued in PA
Legal business name
JOHN F. BRABAZON
Practice address
222 W Fulton St
Ephrata, PA 17522-1901
Phone
(717) 733-2324
Fax
(717) 733-6349
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
John F. Brabazon, D.O.
Title
Physician
Phone
(717) 733-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS004376L PA Primary

Addresses

Primary practice location

222 W Fulton St
Ephrata, PA 17522-1901

Mailing address

222 W Fulton St
Ephrata, PA 17522-1901
Phone (717) 733-2324

National Provider Directory

National Provider Directory

Locations

333 Wheat Ridge Dr
Ephrata, PA 17522
Phone (717) 354-1800

222 W Fulton St
Ephrata, PA 17522
Phone (717) 733-2324

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1689832776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W FULTON ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221901",
            "telephone_number": "717-733-2324",
            "fax_number": "717-733-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W FULTON ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221901",
            "telephone_number": "717-733-2324",
            "fax_number": "717-733-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. BRABAZON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BRABAZON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-733-2324",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004376L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.