Bralow Medical Group
General Practice

Address: 834 South St., Philadelphia, PA 19147
Phone: 6109864827

Bralow Medical Group (NPI# 1023556875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1023556875
Entity Type Organization
Organization Name BRALOW MEDICAL GROUP
Practice Address 834 South St.
Philadelphia
PA 19147
Practice Telephone 6109864827
Practice Fax Number 6106600877
Mailing Address 834 South Street
Philadelphia
PA 19147
Mailing Telephone 6109864827
Mailing Fax Number 6106600877
Authorized Official Name Dr. Vicki L Bralow (PRESIDENT)
Authorized Official Telephone 6109864827
Authorized Official Credential D.O.
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2017-02-01
Last Update Date 2017-02-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208D00000X General Practice Allopathic & Osteopathic Physicians OS006570L PA

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Office Location

Street Address 834 SOUTH ST.
City PHILADELPHIA
State PA
Zip Code 19147

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508336181 Jamica Cropper-pam Counselor 401 S 2nd St. Suite 301, Philadelphia, PA 19147 2018-11-27
1598234411 Halina Dziewolska Behavior Analyst 535 Queen Street, Philadelphia, PA 19147 2018-11-20
1972072908 City Dental LLC Clinic/Center 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 2018-11-20
1487120218 Christopher Michael Rosado Behavior Analyst 1218-20 South 8th St, 1, Philadelphia, PA 19147 2018-10-19
1891271722 Candice Millard Dietitian, Registered 419 S 8th St Apt 1b, Philadelphia, PA 19147 2018-07-13
1669998217 Julianne Leonarda Wiebalk Counselor 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 2017-08-16
1396269247 Sara Parente Social Worker 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 2017-08-02
1609398445 Nikele Riek Social Worker 1348 Bainbridge Street, Philadelphia, PA 19147 2017-07-13
1194196105 Ann Courto Dietitian, Registered 1140 Cross Street, Philadelphia, PA 19147 2015-10-16
1205205226 Michael Shelton Counselor 525 South 4th Street, Suite 471, Equilibria, Philadelphia, PA 19147 2015-09-21
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Competitor

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City PHILADELPHIA
Zip Code 19147

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.