NPIMap

Individual provider Active NPI

Pasquale Brancazio, DO

  • Neurology Physician
  • Chester, PA
National Provider Identifier
1891856951
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS008415L Issued in PA
Practice address
1 Medical Center Blvd
Suite Acp #533
Chester, PA 19013-3902
Phone
(610) 874-1184
Fax
(610) 874-4258
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS008415L PA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Suite Acp #533
Chester, PA 19013-3902

Mailing address

411 Riverview Rd
Swarthmore, PA 19081-1222
Phone (610) 544-7118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000592 PA Practitioner - NeurologyPractitioner - Psychiatry 9931176989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
West Virginia School of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

701 E Marshall St
West Chester, PA 19380-4412
Phone (610) 431-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS008415LPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Apr 5, 2024 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 24, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Apr 5, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 24, 2020 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Neurology Past Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
#533
Chester, PA 19013
Phone (215) 874-1184

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 533
Chester, PA 19013
Phone (610) 874-1184

1 Medical Center Blvd
Ste Acp
Chester, PA 19013
Phone (610) 872-4900

300 Evergreen Dr
Ste 150
Glen Mills, PA 19342
Phone (610) 328-8830

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

145 King of Prussia Rd
Wayne, PA 19087
Phone (610) 687-8239

200 Willowbrook Ln
Ste 210
West Chester, PA 19382
Phone (610) 696-8900

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 9

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891856951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 RIVERVIEW RD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811222",
            "telephone_number": "610-544-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "SUITE ACP #533",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-874-1184",
            "fax_number": "610-874-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCAZIO",
        "first_name": "PASQUALE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS008415L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.