Organization Active NPI

Base Medical LLC

  • Family Medicine Physician
  • Center Valley, PA
National Provider Identifier
1710830856
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BASE MEDICAL LLC
Practice address
4676 Route 309
Center Valley, PA 18034-8200
Phone
(215) 544-2787
Fax
(877) 223-7692
NPI assigned
Feb 18, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Dr. Kevin Matthew Dunn, MDNPI 1558006809
Title
Owner
Phone
(215) 544-2787

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4676 Route 309
Center Valley, PA 18034-8200

Mailing address

4676 Route 309
Center Valley, PA 18034-8200
Phone (215) 544-2787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260620000017 PA Part B Supplier - Clinic/Group Practice 9032682141 Receives reassigned benefits from 1 practitioner
Practice locations: Center Valley, PA

National Provider Directory

National Provider Directory

Locations

4676 Route 309
Center Valley, PA 18034
Phone (610) 790-0610

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": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1710830856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 ROUTE 309",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348200",
            "telephone_number": "215-544-2787",
            "fax_number": "877-223-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 ROUTE 309",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348200",
            "telephone_number": "215-544-2787",
            "fax_number": "877-223-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-544-2787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.