Organization Active NPI

Brian C Melley, D.P.M.

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1700090651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003685L Issued in PA
Legal business name
BRIAN C MELLEY, D.P.M.
Practice address
6424 N 5TH St
Philadelphia, PA 19126-3838
Phone
(215) 549-1151
Fax
(215) 549-0890
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Brian Christopher Melley, D.P.M.NPI 1750449526
Title
Owner
Phone
(215) 549-1151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003685L PA Primary

Addresses

Primary practice location

6424 N 5TH St
Philadelphia, PA 19126-3838

Mailing address

6424 N 5TH St
Philadelphia, PA 19126-3838
Phone (215) 549-1151

National Provider Directory

National Provider Directory

Locations

6424 N 5th St
Philadelphia, PA 19126
Phone (215) 549-1151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700090651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191263838",
            "telephone_number": "215-549-1151",
            "fax_number": "215-549-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191263838",
            "telephone_number": "215-549-1151",
            "fax_number": "215-549-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C MELLEY, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-549-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003685L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

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.