Active NPI
Ivan T. Brechbill, M.D.
- Family Medicine Physician
- Wellsboro, PA
National Provider Identifier
1821266537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 007666E
- Practice address
- 320 S Callahan Rd
Wellsboro, PA 16901-7821 - Phone
- (570) 724-3829
- NPI assigned
- Feb 15, 2008
- Last updated
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 007666E | PA | Primary |
Addresses
Primary practice location
320 S Callahan Rd
Wellsboro, PA 16901-7821
Mailing address
320 S Callahan Rd
Wellsboro, PA 16901-7821
Phone (570) 724-3829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007666E | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1821266537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S CALLAHAN RD",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169017821",
"telephone_number": "570-724-3829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S CALLAHAN RD",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169017821",
"telephone_number": "570-724-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRECHBILL",
"first_name": "IVAN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "007666E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellsboro, PA
- Elizabeth A Blanton, LCSW
- Stephen T Bortz, PHARMD
- Robert M Bowers, MD
- John Frederick Brannaka
- Daniel Lee Branzburg, FNP-C
- Sandra J Brill, NP
- Geraldine Rose Avidano Britton, RN, FNP, PHD
- Broad Acres Nursing Home Association (Broad Acres Health & Rehabilitation Center)
- Jennifer Elizabeth Broughton, COTAL
- Kathy D Brownlee, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.