Individual provider Active NPI

Brett M Harrison, MD

  • Surgery Physician
  • Doylestown, PA
National Provider Identifier
1710987367
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD037391E Issued in PA
Practice address
599 W State St
Suite 301
Doylestown, PA 18901-2567
Phone
(215) 348-7195
Fax
(215) 348-8633
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD037391E PA Primary

Addresses

Primary practice location

599 W State St
Suite 301
Doylestown, PA 18901-2567

Mailing address

PO Box 829641
Philadelphia, PA 19182-0001
Phone (267) 370-5296

Other identifiers 1

IdentifierTypeStateIssuer
0012025750002MedicaidPA

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
I20100315000703 PA Practitioner - General Surgery 0941253314 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037391EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates CurrentSince Jan 1, 2010 Accepting new patients
Via Affiliates CurrentSince Jan 1, 2010 Accepting new patients
Derrick & Harrison PC Surgery PastSince Jan 1, 2000 Accepting new patients
Joseph J Curci MD Surgery Past Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1710987367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820001",
            "telephone_number": "267-370-5296",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 W STATE ST",
            "address_2": "SUITE 301",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012567",
            "telephone_number": "215-348-7195",
            "fax_number": "215-348-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BRETT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD037391E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012025750002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.