BRALOW MEDICAL GROUP
NPI 1023556875
General Practice in Philadelphia, PA

Active since February 01, 2017CLIA 39D2127290 · Waiver
834 SOUTH ST., PHILADELPHIA, PA 19147(610) 986-4827(610) 660-0877 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2017, Feb 1, 2017 (2 updates tracked since 2017).

About Bralow Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRALOW MEDICAL GROUP (NPI 1023556875) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Vicki L Bralow, President, as its authorized official.

NPPES Registry Identity

NPI1023556875
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBRALOW MEDICAL GROUP
Location Address834 SOUTH ST.Philadelphia, PA 19147
Mailing Address834 South StreetPhiladelphia, PA 19147 · (610) 986-4827 · Fax (610) 660-0877
Fax(610) 660-0877
Organization SubpartNo
Authorized OfficialVicki L BralowPresident · (610) 986-4827
Enumeration DateFebruary 1, 2017
Last NPPES UpdateFebruary 28, 20172 updates tracked since enumeration
✔ NPI 1023556875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · OS006570L
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
834 SOUTH ST., Philadelphia, PA 19147

Other Identifiers 2

Medicare UPINE69312PA
Medicare UPINE82438PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bralow Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bralow Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1962588335
834 SOUTH ST
Philadelphia, PA 19147
(215) 832-0135
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1174586358
301 CITY AVE SUITE 100
Bala Cynwyd, PA 19004
(610) 660-8864
✔ PECOS✔ Accepts Medicare5.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2127290

Bralow Medical Group · Philadelphia, PA
Active · expires Mar 12, 2027
CLIA Number39D2127290
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorDr. Scott A. Bralow
Laboratory Phone(215) 832-0130
Laboratory LocationBralow Medical Group420 Bainbridge St, Suite 201, Philadelphia, PA 19147
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bralow Medical Group's NPI number?

The NPI number for Bralow Medical Group is 1023556875. It was assigned to this organization in the NPPES registry on February 1, 2017.

Where is Bralow Medical Group located?

Bralow Medical Group is located at 834 South St., Philadelphia, PA 19147. The listed phone number is (610) 986-4827.

What is Bralow Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bralow Medical Group enrolled in Medicare?

Yes. Bralow Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bralow Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bralow Medical Group, in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bralow Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2127290) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bralow Medical Group was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.