Organization Active NPI

Brandywine Valley Family Care

  • Family Medicine Physician
  • Kemblesville, PA
National Provider Identifier
1992863856
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRANDYWINE VALLEY FAMILY CARE
Practice address
20 McMaster Boulevard
Suite 1
Kemblesville, PA 19347-0400
Phone
(610) 255-4466
Fax
(610) 255-4479
NPI assigned
Dec 4, 2006
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. David Fahnestock Hoffman, MDNPI 1043309289
Title
President
Phone
(610) 255-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

20 McMaster Boulevard
Suite 1
Kemblesville, PA 19347-0400

Mailing address

20 McMaster Boulevard
Suite 1
Kemblesville, PA 19347-0400
Phone (610) 255-4466

Other identifiers 1

IdentifierTypeStateIssuer
207Q00000XOtherPATAXONOMY #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210000935 PA Part B Supplier - Clinic/Group Practice 2062318918 Receives reassigned benefits from 1 practitioner
Practice locations: Kemblesville, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1992863856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MCMASTER BOULEVARD",
            "address_2": "SUITE 1",
            "city": "KEMBLESVILLE",
            "state": "PA",
            "postal_code": "193470400",
            "telephone_number": "610-255-4466",
            "fax_number": "610-255-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MCMASTER BOULEVARD",
            "address_2": "SUITE 1",
            "city": "KEMBLESVILLE",
            "state": "PA",
            "postal_code": "193470400",
            "telephone_number": "610-255-4466",
            "fax_number": "610-255-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE VALLEY FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FAHNESTOCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-255-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY #",
            "identifier": "207Q00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kemblesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.