Timothy Brainerd Eckel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD019417E Issued in PA

Practice address

255 Locust LN
Danville, PA 17821-8561

Phone

(570) 275-6153

Fax

(570) 258-8808

NPI assigned

Sep 27, 2005

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1821085572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LOCUST LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218561",
            "telephone_number": "570-275-6153",
            "fax_number": "570-258-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LOCUST LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218561",
            "telephone_number": "570-275-6153",
            "fax_number": "570-258-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKEL",
        "first_name": "TIMOTHY",
        "middle_name": "BRAINERD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD019417E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000599065",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Zoey Earnest, PA-C
• Lance Earnshaw, DO
• Christopher Eaton, MD
• Kimberly P. Eaton, PA-C
• Samuel Eckel, PHARMD
• Katherine Rebecca Eckroth, DNP, RXN, PMHNP-BC
• Adam Edelstein, DO
• Jordon Christopher Edlund, PA-C
• Amanda Marie Edwards, PA-C
• Amanda Marie Edwards, D.O.

• Family Medicine Physician in Danville, PA
• Providers in Danville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.