BRANDYWINE VALLEY NEUROSURGERY AND SPINE LLC (NPI# 1679751754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679751754 |
| Entity Type | Organization |
| Organization Name | BRANDYWINE VALLEY NEUROSURGERY AND SPINE LLC |
| Practice Address |
213 Reeceville Rd Ste 33 Coatesville PA 19320-1528 |
| Practice Telephone | 6103840482 |
| Practice Fax Number | 6103840485 |
| Mailing Telephone | 6103840482 |
| Mailing Fax Number | 6103840485 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | DR. ANDREW FREESE (OWNER) |
| Authorized Official Telephone | 6103840482 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD048535L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 3432945000 | 01 |
| PA | HIGHMARK | 2017841 | 01 |
| Street Address |
213 REECEVILLE RD STE 33 |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164579 | Raida Rabah | Internal Medicine | 213 Reeceville Rd, Ste 27, Coatesville, PA 19320-1528 | 2005-06-16 |
| 1619228376 | Kalyca Leyana Dubose | Nurse Practitioner | 213 Reeceville Rd, Suite 27, Coatesville, PA 19320-1528 | 2012-09-21 |
| 1710269766 | Debra T Wright | Nurse Practitioner | 213 Reeceville Rd, Suite 17, Coatesville, PA 19320-1528 | 2011-09-15 |
| 1477708345 | Michael Urbano M D | Internal Medicine | 213 Reeceville Rd, Suite 32, Coatesville, PA 19320-1528 | 2008-11-19 |
| 1467625541 | Heidar K. Jahromi, M.d. P.C. | Psychiatry & Neurology | 213 Reeceville Rd, Suite 22, Coatesville, PA 19320-1528 | 2008-04-09 |
| 1760670947 | Martha L Harpham | Nurse Practitioner | 213 Reeceville Rd, Ste 36, Coatesville, PA 19320-1528 | 2007-10-12 |
| 1669681110 | Jose R Monasterio | General Practice | 213 Reeceville Rd, Suite 10, Coatesville, PA 19320-1574 | 2007-05-22 |
| 1952516445 | Susan Jennifer Sees | Surgery | 213 Reeceville Rd, Suite 23, Coatesville, PA 19320-1528 | 2007-05-10 |
| 1336277516 | John H Bartels | Internal Medicine | 213 Reeceville Rd, Suite 12, Coatesville, PA 19320-1528 | 2007-03-01 |
| 1235267592 | Chester County Pulmonary and Sleep Specialists | Internal Medicine | 213 Reeceville Rd, St 36, Coatesville, PA 19320-1528 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235169772 | Andrew Freese | Neurological Surgery | 213 Reeceville Rd, Suite 33, Coatesville, PA 19320-1528 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754510 | Isabela Marlene Tetino | Neurological Surgery | 1029 Maplewood Dr, Canonsburg, PA 15317-6058 | 2019-11-08 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1083002661 | Excela Health Physician Practices, Inc. | Neurological Surgery | 100 Excela Health Dr Ste 203b, Latrobe, PA 15650-9001 | 2015-01-05 |
| 1780006874 | Donald Reigel | Neurological Surgery | 1139 Links Way, Gibsonia, PA 15044-7725 | 2014-01-09 |
| 1962832782 | Ronald Larry Paul | Neurological Surgery | 5550 Nursery Road, Dover, PA 17315 | 2013-11-14 |
| 1457787434 | Allegheny Clinic | Neurological Surgery | 575 Coal Valley Rd Ste 260, Clairton, PA 15025-3716 | 2013-09-23 |
| 1144666348 | Sean Patrick Polster | Neurological Surgery | 203 Lothrop St Ste 521, Pittsburgh, PA 15213-2548 | 2013-05-14 |
| Find all providers with the same taxonomy | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
Please comment or provide details below to improve the information on BRANDYWINE VALLEY NEUROSURGERY AND SPINE LLC.
| 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.