Individual provider Active NPI

Debra Budge-Brennan, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1821477092
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014751 Issued in PA
Practice address
5000 Frankford Ave
Philadelphia, PA 19124-2620
Phone
(215) 605-9780
Fax
(215) 605-9780
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014751 PA Primary

Addresses

Primary practice location

5000 Frankford Ave
Philadelphia, PA 19124-2620

Mailing address

3350 Tyson Ave
Philadelphia, PA 19149-2014
Phone (215) 605-9780

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214000185 PA Practitioner - Nurse Practitioner 1759730880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mydoc Urgent CareGroup PAC ID 3870808322, 6 clinicians
Ahpaffs,LLCGroup PAC ID 5799070306, 9 clinicians

Practice addresses (Care Compare)

1420 Locust St
R1A
Philadelphia, PA 19102-4223
Phone (215) 800-1909

5000 Frankford Ave D
Philadelphia, PA 19124-2620
Phone (267) 819-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP014751PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mydoc Urgent Care CurrentSince Aug 9, 2025 Accepting new patients
Jan N Widerman P.C. Past Accepting new patients

Locations

1501 N Broad St
Ste 10
Philadelphia, PA 19122
Phone (267) 457-5553

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1821477092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492014",
            "telephone_number": "215-605-9780",
            "fax_number": "855-201-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242620",
            "telephone_number": "215-605-9780",
            "fax_number": "215-605-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDGE-BRENNAN",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.