James Edward Devlin
Organization Active NPI Family Medicine Physician · Brockway, PA
NPI 1699442202 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1699442202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- JAMES EDWARD DEVLIN
- Practice address
- 1100 Main St
Brockway, PA 15824-1620 - Phone
- (814) 268-3645
- Fax
- (814) 265-1795
- NPI assigned
- Aug 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. James Devlin, MD
- Title
- Owner
- Phone
- (814) 590-9759
Practitioners 2
-
James Edward Devlin, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0181752 | James E Devlin MD Lab | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
Locations
1100 Main St
#219
Brockway, PA 15824
1100 Main St
Brockway, PA 15824
Phone (814) 268-3645
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1100 Main St
Brockway, PA 15824-1620
Mailing address
1100 Main St
Brockway, PA 15824-1620
Phone (814) 268-3645
Other names
- James E Devlin MD
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdevlin@jdevlinmd.direct.emds.com |
Other providers in Brockway, PA
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All providers in Brockway, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.