Individual provider Active NPI

Brian Keith Abaluck, MD

  • Neurology Physician
  • Malvern, PA
National Provider Identifier
1952428070
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD445233 Issued in PA
Practice address
462 E King Rd Ste 1
Malvern, PA 19355-3267
Phone
(484) 888-0091
Fax
(484) 253-4407
NPI assigned
Mar 23, 2007
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD445233 PA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD445233 PA

Addresses

Primary practice location

462 E King Rd Ste 1
Malvern, PA 19355-3267

Mailing address

462 E King Rd Ste 1
Malvern, PA 19355-3267
Phone (484) 888-0091

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address babaluck@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD445233PAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas H. Graham Neurology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: babaluck@direct.practicefusion.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1952428070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 E KING RD STE 1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553267",
            "telephone_number": "484-888-0091",
            "fax_number": "484-253-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 E KING RD STE 1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553267",
            "telephone_number": "484-888-0091",
            "fax_number": "484-253-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABALUCK",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD445233",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD445233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "babaluck@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "462 E King Rd Ste 1",
            "city": "Malvern",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193553267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.