Brian Walsh, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS006489L Issued in PA

Practice address

4702 N 5TH St
Philadelphia, PA 19120-4108

Phone

(215) 329-4888

Fax

(215) 329-5615

NPI assigned

Jun 6, 2006

Last updated

Feb 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Health Home health agency, Newtown, PA, CCN 397015
• Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
• Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.walsh@philadelphiafamilymedicalassoc.chartmakerdirect.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Philadelphia Family Medical Associates

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1861434680
  Medicare reassignment NPD Authorized official
• Medical Center of Bustleton PC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1861576753

  Family Medicine

  NPD (past)
• Pinnacle Physicians Group LLC

  • Family Medicine Physician
  • Trevose, PA
  • NPI 1184984809
  NPD (past)
• Wjo Inc.

  dba Oxford Valley Family Practice and Medical Center

  • Family Medicine Physician
  • Levittown, PA
  • NPI 1639125347
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Einstein Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1366653818
  Care Compare affiliation Name & address match
• Holy Redeemer Health System

  dba Holy Redeemer Home Care - PA

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1972577617
  Care Compare affiliation Name & address match
• Mercy Home Health

  • Home Health Agency
  • Newtown, PA
  • NPI 1467412296
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1902845670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204108",
            "telephone_number": "215-329-4888",
            "fax_number": "215-329-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204108",
            "telephone_number": "215-329-4888",
            "fax_number": "215-329-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "BRIAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006489L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "192650",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0091396000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walnut Street Apothecary Inc (Wynnefield Pharmacy)
• Walnut Street Smiles PC
• Alesia Walsh, DMD
• Allison Louise Walsh
• Amy Elizabeth Walsh, CRNA
• Elaine Justine Walsh, CRNP
• Grace Terry Walsh, DPT
• Joseph Charles Walsh, LCSW
• Kathleen Elizabeth Walsh, NURSE PRACTITIONER
• Katie Walsh

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.