NPIMap

Organization Active NPI

Coatesville Clinic Company, LLC

  • Internal Medicine Physician
  • Thorndale, PA
National Provider Identifier
1811927882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COATESVILLE CLINIC COMPANY, LLC
Doing business as
Brandywine Valley Internal Medicine
Practice address
3629 Lincoln Hwy
Thorndale, PA 19372-1003
Phone
(610) 383-1545
Fax
(610) 383-1547
NPI assigned
Jul 4, 2006
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
Gary D Newsome
Title
Group VP
Phone
(615) 465-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3629 Lincoln Hwy
Thorndale, PA 19372-1003

Mailing address

3629 Lincoln Hwy
Thorndale, PA 19372-1003
Phone (610) 383-1545

Other names 1

  • Brandywine Valley Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coatesville Clinic Company LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3629 Lincoln Hwy
Thorndale, PA 19372
Phone (610) 383-1545

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811927882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721003",
            "telephone_number": "610-383-1545",
            "fax_number": "610-383-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721003",
            "telephone_number": "610-383-1545",
            "fax_number": "610-383-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATESVILLE CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GROUP VP",
        "authorized_official_telephone_number": "615-465-3000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Valley Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thorndale, 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.