MR. BRIAN DOUGLAS FLETCHER (NPI# 1952408742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952408742 |
| Entity Type | Individual |
| Full Name | MR. BRIAN DOUGLAS FLETCHER |
| Credential | PAC |
| Practice Address |
250 King of Prussia Rd Radnor PA 19087-5235 |
| Practice Telephone | 6109025600 |
| Practice Fax Number | 6109025604 |
| Mailing Telephone | 6109025600 |
| Mailing Fax Number | 6109025604 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | RT003324 | PA | Other Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055419 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TMA052617 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861690059 | Brian Thomas Fletcher | Emergency Medicine | 6401 Cadillac Ave, Los Angeles, CA 90034 | 2007-07-10 |
| 1447814835 | Brian Fletcher | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-01 |
| 1457889719 | Brian H Fletcher | Behavior Technician | 9500 Annapolis Rd Ste B2, Lanham, MD 20706-2062 | 2017-05-31 |
| 1285995340 | Brian S Fletcher | Physical Therapist | 4412 S Pulaski Rd, Chicago, IL 60632-4011 | 2012-06-06 |
| 1285900597 | Brian Paul Fletcher | Surgery | 2129 Helton Dr, Florence, AL 35630 | 2012-03-30 |
| 1295929842 | Brian Edward Fletcher | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-4701 | 2007-08-28 |
| 1972729226 | Brian Arthur Fletcher | Radiology | 20333 W 151st St, Olathe, KS 66061-5350 | 2007-04-17 |
| 1043283070 | Brian Dale Fletcher | Dentist | 1212 Bookcliff Ave, Suite 2, Grand Junction, CO 81501-8162 | 2006-02-09 |
| Street Address |
250 KING OF PRUSSIA RD |
| City | RADNOR |
| State | PA |
| Zip Code | 19087-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881329 | Mark Bertram Sostek | Internal Medicine | 250 King of Prussia Rd, Penn Medicine At Radnor, Radnor, PA 19087-5220 | 2005-12-08 |
| 1255972956 | Nichelle M Logan | Pharmacist | 250 King of Prussia Rd, Radnor, PA 19087-5227 | 2019-10-03 |
| 1205344959 | Trudy A Lauro | Nurse Practitioner | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2018-01-16 |
| 1578088712 | Marilyn Grace Purvis | Nurse Practitioner | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2017-08-09 |
| 1134654361 | Susan Prescott Thompson | Nurse Practitioner | 250 King of Prussia Rd, Suite 2j, Radnor, PA 19087-5235 | 2017-04-25 |
| 1477917433 | Kari Adams Torp | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5220 | 2016-04-06 |
| 1528450087 | Amber Silas | Nurse Practitioner | 250 King of Prussia Rd, Ste 1b, Radnor, PA 19087-5235 | 2015-02-20 |
| 1144665860 | Jennifer Lynne Michener | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-05-08 |
| 1235572066 | Lilia Lakhtman | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-04-11 |
| 1952744989 | Meaghan Henrici | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710010137 | Elizabeth Ann Rainville | Physician Assistant | 250 King of Prussia Rd Ste 2j, Radnor, PA 19087-5235 | 2007-03-14 |
| 1629037106 | Jason Corey Jones | Physician Assistant | 250 King of Prussia Rd, Radnor, PA 19087-5220 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.