Organization Active NPI

Brndjar Medical Associates,P.C.

  • Internal Medicine Physician
  • Emmaus, PA
National Provider Identifier
1992751044
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS007814L Issued in PA
Legal business name
BRNDJAR MEDICAL ASSOCIATES,P.C.
Practice address
730 Harrison St
Emmaus, PA 18049-2211
Phone
(610) 965-1900
Fax
(610) 965-2900
NPI assigned
May 26, 2006
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Mrs. Dana M Brndjar
Title
Office Manager
Phone
(610) 965-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS007814L PA Primary

Addresses

Primary practice location

730 Harrison St
Emmaus, PA 18049-2211

Mailing address

730 Harrison St
Emmaus, PA 18049-2211
Phone (610) 965-1900

Other identifiers 1

IdentifierTypeStateIssuer
01511777MedicaidPA

National Provider Directory

National Provider Directory

Locations

111 E Harrison St
Ste 3
Emmaus, PA 18049
Phone (610) 965-1900

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1992751044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HARRISON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492211",
            "telephone_number": "610-965-1900",
            "fax_number": "610-965-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HARRISON ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492211",
            "telephone_number": "610-965-1900",
            "fax_number": "610-965-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRNDJAR MEDICAL ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "BRNDJAR",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-965-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007814L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01511777",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.