NPIMap

Organization Active NPI

Veracon, Inc

  • Multi-Specialty Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1942436738
Registry record updated Jun 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VERACON, INC
Practice address
2511 S Broad St
Philadelphia, PA 19148-4309
Phone
(800) 434-6070
Fax
(215) 271-8270
NPI assigned
Jun 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2009

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

Authorized official

Name
Luke W. Bryant
Title
President
Phone
(800) 434-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2511 S Broad St
Philadelphia, PA 19148-4309

Mailing address

2511 S Broad St
Philadelphia, PA 19148-4309
Phone (800) 434-6070

National Provider Directory

National Provider Directory
Tax ID family
Veracon Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2511 S Broad St
Philadelphia, PA 19148
Phone (215) 467-3883

NPI Registry JSON

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

{
    "created_epoch": "1244332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244332800000",
    "number": "1942436738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "800-434-6070",
            "fax_number": "215-271-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "800-434-6070",
            "fax_number": "215-271-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERACON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-07",
        "last_updated": "2009-06-07",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-434-6070"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2009; 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.