NPIMap

Organization Active NPI

Havertown Radiosurgery Center, PC

  • Radiation Oncology Clinic/Center
  • Havertown, PA
National Provider Identifier
1891737508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
AC20-48878 Issued in PA
Legal business name
HAVERTOWN RADIOSURGERY CENTER, PC
Practice address
2010 W Chester Pike
Suite 115
Havertown, PA 19083-2700
Phone
(610) 446-6850
Fax
(610) 446-6852
NPI assigned
Jun 10, 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
Dr. Luther Weldon Brady Jr., M.D.
Title
Co-Owner
Phone
(610) 446-6850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X AC20-48878 PA Primary

Addresses

Primary practice location

2010 W Chester Pike
Suite 115
Havertown, PA 19083-2700

Mailing address

2010 W Chester Pike
Suite 115
Havertown, PA 19083-2700
Phone (610) 446-6850

Other names 1

  • Cyberknife Center of Philadelphia Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891737508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE",
            "address_2": "SUITE 115",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832700",
            "telephone_number": "610-446-6850",
            "fax_number": "610-446-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE",
            "address_2": "SUITE 115",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832700",
            "telephone_number": "610-446-6850",
            "fax_number": "610-446-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERTOWN RADIOSURGERY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_middle_name": "WELDON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "610-446-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "PA",
            "license": "AC20-48878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cyberknife Center of Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havertown, 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.