Brandywine Therapeutics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRANDYWINE THERAPEUTICS LLC

Practice address

1309 Veale Rd Ste 11
Wilmington, DE 19810-4609

Phone

(302) 256-7384

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marshall Colbert, CRNA, APRN

Title

Manager

Phone

(302) 256-7384

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1972389427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 VEALE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104609",
            "telephone_number": "302-256-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 VEALE RD STE 11",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104609",
            "telephone_number": "302-256-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "302-256-7384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA, APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandywine Womens Health Associates
• Steven B Brangs, R.PH
• Syreeta Bratton, LSW, LCADC

• Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.