Alan Bart Brackup in Langhorne - Specialist

Alan Bart Brackup - NPI 1417059908

Alan Bart Brackup is a Specialist in Langhorne, Pennsylvania. Alan Bart Brackup practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alan Bart Brackup is 1417059908. The last update date is 2021-03-25.

Alan Bart Brackup's current location address is 1717 Langhorne Newtown Rd, Langhorne, Pennsylvania. You can contact this provider via phone number 2157509400 and fax number 2157507400. The mailing address for Alan Bart Brackup is 1717 Langhorne Newtown Rd, Langhorne, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Alan Bart Brackup
Address 1717 Langhorne Newtown Rd, Langhorne, Pennsylvania
Phone Number 2157509400
Fax Number 2157507400
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1417059908
Provider Enumeration Date 2006-09-04
Last Updated Date 2021-03-25

Provider Mailing Address Detail

Address 1717 Langhorne Newtown Rd
City Langhorne
State Pennsylvania (PA)
Post Code 190471089
Phone Number 2157509400
Fax Number 2157507400

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD044284E
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
342693000 PA KEYSTONE
4122424 PA AETNA PPO
790237 PA CIGNA
520626 PA PERSONAL CHOICE
520626 PA PABS (HIGHMARK)
2265859 PA AETNA HMO
E20626 PA AMERIHEALTH

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FAQs about Alan Bart Brackup

What is the unique 10-digit identification code issued to Alan Bart Brackup by the Centers for Medicare & Medicaid Services?

The Alan Bart Brackup has been assigned the NPI (National Provider Identifier) 1417059908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Alan Bart Brackup's facilities are situated?

The facilities of Alan Bart Brackup are physically located at the following address: 1717 Langhorne Newtown Rd, Langhorne, PA, 190471089.

What is the Alan Bart Brackup's specialty and taxonomy code?

The Alan Bart Brackup's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When was the Alan Bart Brackup's 1417059908 issued?

The Alan Bart Brackup's 1417059908 was issued on 2006-09-04.

When was the information regarding Alan Bart Brackup most recently updated?

The details pertaining to the Alan Bart Brackup, including its address, specialty, and other relevant information, were last refreshed on 2021-03-25.

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