Individual provider Active NPI

Robert Wesley Chernoff, M.D.

  • Internal Medicine Physician
  • Bryn Mawr, PA
National Provider Identifier
1740504067
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD005844E Issued in PW
Practice address
1004 Broadmoor Rd
Bryn Mawr, PA 19010-1934
Phone
(610) 527-3536
NPI assigned
Mar 15, 2010
Last updated
Jan 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD005844E PW Primary

Addresses

Primary practice location

1004 Broadmoor Rd
Bryn Mawr, PA 19010-1934

Mailing address

1004 Broadmoor Rd.
Bryn Mawr, PA 19010-1934
Phone (610) 527-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD005844EPWMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1740504067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BROADMOOR RD.",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101934",
            "telephone_number": "610-527-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BROADMOOR RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101934",
            "telephone_number": "610-527-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNOFF",
        "first_name": "ROBERT",
        "middle_name": "WESLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PW",
            "license": "MD005844E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.