BRMS OB/GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD024058E Issued in PA

Legal business name

BRMS OB/GYN

Practice address

159 Interstate Pkwy
Bradford, PA 16701-1013

Phone

(814) 368-3123

NPI assigned

Apr 27, 2009

Organization subpart

Yes

Parent organization

BRADFORD REGIONAL MEDICAL SERVICESAs reported in NPPES

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

Authorized official

Name

Rhonda K Chilson, RN

Title

Director of Practice Management

Phone

(814) 362-8277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bradford Regional Medical Services

  • Family Medicine Physician
  • Bradford, PA
  • NPI 1144273814

  O20040317001276

  Same enrollment

Part of

Bradford Regional Med Serv

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bradford Regional Medical Services

  • Family Medicine Physician
  • Bradford, PA
  • NPI 1144273814
  NPPES parent name

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shabir Bhayani, M.D.

  • Orthopaedic Surgery Physician
  • Bradford, PA
  • NPI 1205834942
  NPD
• Syed A Ally, MD

  • Cytopathology Physician
  • Bradford, PA
  • NPI 1467492553
  NPD (past)
• Tracy Lynn Andrus, PA-C

  • Physician Assistant
  • Bradford, PA
  • NPI 1245781426
  NPD (past)
• Luis Carlos Gonzalez, M.D.

  • Surgery Physician
  • Bradford, PA
  • NPI 1871519637
  NPD (past)
• Kellie J Krzos

  • Adult Health Nurse Practitioner
  • Bradford, PA
  • NPI 1548900897
  NPD (past)
• Eduardo Javier Morales-Vicente, MD

  • Surgery Physician
  • Olean, NY
  • NPI 1861828444
  NPD (past)
• Steven I Pancio II, MD

  • Orthopaedic Surgery Physician
  • Winchester, VA
  • NPI 1962840082
  NPD (past)
• Jennifer L Ursoy, PA-C

  • Medical Physician Assistant
  • Olean, NY
  • NPI 1619170768

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1821232406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 INTERSTATE PKWY",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011036",
            "telephone_number": "814-368-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 INTERSTATE PKWY",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011013",
            "telephone_number": "814-368-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRMS OB/GYN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRADFORD REGIONAL MEDICAL SERVICES",
        "enumeration_date": "2009-04-27",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "CHILSON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF PRACTICE MANAGEMENT",
        "authorized_official_telephone_number": "814-362-8277",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD024058E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford Regional Medical Services
• Bradford Z Stat Ambulance, LLC.
• Bradford Z-Stat
• Blake Bradish, DPT
• John Breznik, MD
• Andrew Mark Brodis, DMD
• Matthew Buck
• Nichole D Burritt, LMHC
• Brennan Fife Bushman, DC
• Jill Lorryn Campbell, SPEECH-LANGUAGE PATH

• Obstetrics & Gynecology Physician in Bradford, PA
• Providers in Bradford, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.