Individual provider Active NPI

Laurie A Browngoehl, MD

  • Physical Medicine & Rehabilitation Physician
  • Haverford, PA
National Provider Identifier
1700804143
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD0332325 Issued in PA
Practice address
551 W Lancaster Ave
Suite 205
Haverford, PA 19041-1419
Phone
(610) 527-8808
Fax
(610) 527-8868
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD0332325 PA Primary

Addresses

Primary practice location

551 W Lancaster Ave
Suite 205
Haverford, PA 19041-1419

Mailing address

PO Box 1130
Bryn Mawr, PA 19010-7130
Phone (610) 527-8808

Other identifiers 1

IdentifierTypeStateIssuer
1025917MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000057 PA Practitioner - Physical Medicine and Rehabilitation 8527102938 Practice locations: Bryn Mawr, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0332325PAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1700804143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1130",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190107130",
            "telephone_number": "610-527-8808",
            "fax_number": "610-527-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W LANCASTER AVE",
            "address_2": "SUITE 205",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411419",
            "telephone_number": "610-527-8808",
            "fax_number": "610-527-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNGOEHL",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD0332325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025917",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.