Individual provider Active NPI

Bari Michele Brandt, M.D.

  • Ophthalmology Physician
  • Berwyn, PA
National Provider Identifier
1972504017
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD052464L Issued in PA
Practice address
1175 Lancaster Ave
Berwyn, PA 19312-1297
Phone
(610) 384-9100
Fax
(610) 384-3937
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD052464L PA Primary

Addresses

Primary practice location

1175 Lancaster Ave
Berwyn, PA 19312-1297

Mailing address

56 W Eagle Rd
Havertown, PA 19083-1447
Phone (610) 449-4336

Other identifiers 1

IdentifierTypeStateIssuer
180033719OtherPARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BB@llceye.ecldirect.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100722000730 PA Practitioner - Ophthalmology 6406988617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Eye Group PC 7 clinicians

Practice addresses (Care Compare)

1175 Lancaster Ave
Berwyn, PA 19312-1297
Phone (610) 384-9100

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Eye Group, P.C. CurrentSince Sep 1, 2018 Accepting new patients
Focus Eye Group, P.C. Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Riddle Eye Associates PC PastSince Dec 1, 2012 Accepting new patients
Pro-Specs Inc Past Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1175 Lancaster Ave
Fl 2
Berwyn, PA 19312
Phone (610) 384-9100

1175 Lancaster Ave
Ste 200
Berwyn, PA 19312
Phone (610) 384-9100

3000 Zinn Rd
Thorndale, PA 19372
Phone (610) 380-1621

Interoperability endpoints

  • Direct secure messaging: bb@llceye.ecldirect.net
  • Direct secure messaging: bbrandt@llcea.intellechartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1972504017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831447",
            "telephone_number": "610-449-4336",
            "fax_number": "610-446-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121297",
            "telephone_number": "610-384-9100",
            "fax_number": "610-384-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "BARI",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD052464L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180033719",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BB@llceye.ecldirect.net",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1175 Lancaster Ave",
            "city": "Berwyn",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193121297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.