Tecla M Brabazon, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OT010550 Issued in PA

Practice address

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

Phone

(484) 884-2888

Fax

(484) 884-2885

NPI assigned

May 15, 2007

Last updated

Jun 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Merit-based Incentive Payment System (MIPS)

Final score

89.4 of 100Reported as group

Quality

82.63

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Grand View Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Sellersville, PA
  • NPI 1891359287
  Medicare reassignment NPD
• Doylestown Emergency Associates PC

  • Emergency Medicine Physician
  • Doylestown, PA
  • NPI 1952373011
  Medicare reassignment
• Abington Emergency Physician Associates PC

  • Emergency Medicine Physician
  • Abington, PA
  • NPI 1659359099
  NPD
• Doylestown Emergency Associates PC

  • Urgent Care Clinic/Center
  • Doylestown, PA
  • NPI 1316308703
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1962618991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177300",
            "telephone_number": "484-884-2888",
            "fax_number": "484-884-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177300",
            "telephone_number": "484-884-2888",
            "fax_number": "484-884-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABAZON",
        "first_name": "TECLA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT010550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2015434",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102078195",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Lettiere Boyer, LPC
• James J Boylan, MD
• Edward Joseph Boyle
• Hassan Bozorgnia, MD
• Gemma Rosina Bozzi
• Brendan Bradley
• Clyde Bradley, BA
• Darian Lee Bradley
• Ilya Bragin, M.D.
• Andrew Han Brainard, M.D.

• Emergency Medicine Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.