DR. ANDREW BRACKBILL (NPI# 1447455209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447455209 |
| Entity Type | Individual |
| Full Name | DR. ANDREW BRACKBILL |
| Credential | M.D. |
| Practice Address |
1243 S Cedar Crest Blvd Suite 2800 Allentown PA 18103-6268 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104026790 |
| Practice Fax Number | 6104026979 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD455998 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1243 S CEDAR CREST BLVD SUITE 2800 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323820 | Gary A. Tarola | Chiropractor | 1243 S Cedar Crest Blvd, Sutie# 2400 2nd Floor, Allentown, PA 18103-6268 | 2005-08-18 |
| 1538798772 | Michelle Rhonda Waitz-lynch | Speech-Language Pathologist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2020-04-08 |
| 1336706993 | Sara Renee Endres | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2019-05-20 |
| 1639654528 | Thomas Novak Fraind | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2018-09-26 |
| 1205324092 | Regina Radocha Sacco | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2018-04-26 |
| 1598290421 | Shaeista Ali Khaku | Occupational Therapist | 1243 S Cedar Crest Blvd, 102, Allentown, PA 18103-6268 | 2017-04-28 |
| 1376082065 | Joseph Gocek | Physical Therapist | 1243 S Cedar Crest Blvd, Suite 102, Allentown, PA 18103-6268 | 2017-02-15 |
| 1801333752 | Colin Ellis | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2017-01-30 |
| 1720522881 | Erin Ebert | Nurse Practitioner | 1243 S Cedar Crest Blvd, Suite 2800, Allentown, PA 18103-6268 | 2016-12-08 |
| 1154778082 | Sandhya Venkataraman | Internal Medicine | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2016-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912252461 | Lakshmi Kannan | Internal Medicine | 325 5th Street, Sacred Heart Healthcare System, Allentown, PA 18102 | 2012-07-20 |
| 1518271154 | Shamsuddin Shaik | Internal Medicine | 1243 S Cedar Crest Blvd Ste 2800, Allentown, PA 18103-6230 | 2010-08-05 |
| 1417140468 | Diep D Nguyen | Internal Medicine | 3435 Winchester Rd, Allentown, PA 18104-2268 | 2007-08-23 |
| 1659765873 | Sonum Singh | Internal Medicine | 1243 S Cedar Crest Blvd Ste 2800, Allentown, PA 18103 | 2015-03-25 |
| 1316380611 | Simeng Sun | Internal Medicine | 1243 S Cedar Crest Blvd Ste 2800, Allentown, PA 18103-6230 | 2013-04-17 |
| 1235496241 | Erin Michele Scholten | Internal Medicine | 1243 S Cedar Crest Blvd Ste 2800, Allentown, PA 18103-6230 | 2012-04-15 |
| 1760774798 | Leslie Ann Colip | Internal Medicine | 1243 S Cedar Crest Blvd Ste 2800, Allentown, PA 18103-6230 | 2011-05-10 |
| 1609037696 | Sharmila C Koshy | Internal Medicine | 1243 S Cedar Crest Blvd, Suite 2800, Allentown, PA 18103-6268 | 2008-06-23 |
| 1750589735 | Vasudev Govardhan Magaji | Internal Medicine | 1243 S Cedar Crest Blvd, Suite2800, Allentown, PA 18103-6268 | 2007-07-11 |
| 1992920466 | Robert Mccauley | Internal Medicine | 1243 S Cedar Crest Blvd, Suite 2800, Allentown, PA 18103-6268 | 2007-04-17 |
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| 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.