Organization Active NPI

Broker,Cramer & Swanson ENT, PC

Doing business as ENT & Allergy Specialists

  • Facial Plastic Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1942933056
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
BROKER,CRAMER & SWANSON ENT, PC
Doing business as
ENT & Allergy Specialists
Practice address
825 Old Lancaster Rd Ste 300
Bryn Mawr, PA 19010-3235
Phone
(610) 415-1100
Fax
(610) 415-1101
NPI assigned
Jul 6, 2022
Last updated
Jul 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Becky Manderach
Title
Credentialing
Phone
(610) 415-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0201X
Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

825 Old Lancaster Rd Ste 300
Bryn Mawr, PA 19010-3235

Mailing address

826 Main St Ste 201
Phoenixville, PA 19460-4459
Phone (610) 415-1100

Other identifiers 1

IdentifierTypeStateIssuer
0017758550008MedicaidPA

Other names 1

  • ENT & ALLERGY SPECIALISTS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Broker Cramer and Swanson ENT PC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1942933056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MAIN ST STE 201",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604459",
            "telephone_number": "610-415-1100",
            "fax_number": "610-415-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 300",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103235",
            "telephone_number": "610-415-1100",
            "fax_number": "610-415-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKER,CRAMER & SWANSON ENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "MANDERACH",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "610-415-1100"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017758550008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT & ALLERGY SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.