BROOKSIDE FAMILY PRACTICE
NPI 1033234133
Family Medicine in Pottstown, PA
About Brookside Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKSIDE FAMILY PRACTICE (NPI 1033234133) is a healthcare organization registered as a family medicine in Pottstown, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Shana M Enochs, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brookside Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
42Medicare enrollment records show 42 clinicians reassign Medicare billing to Brookside Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 42Source: 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 39D0705879
Brookside Family Practice · Pottstown, PAFrequently 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 Brookside Family Practice & Pediatrics's NPI number?
The NPI number for Brookside Family Practice & Pediatrics is 1033234133. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Brookside Family Practice.
Where is Brookside Family Practice & Pediatrics located?
Brookside Family Practice & Pediatrics is located at 1555 Medical Drive, Pottstown, PA 19464. The listed phone number is (610) 326-7820.
What is Brookside Family Practice & Pediatrics's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brookside Family Practice & Pediatrics enrolled in Medicare?
Yes. Brookside Family Practice & Pediatrics is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brookside Family Practice & Pediatrics?
According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 10 Medicare specialties reassign their Medicare billing to Brookside Family Practice & Pediatrics. 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. The largest specialties are Family Practice (17), Nurse Practitioner (13) and Internal Medicine (4). Of these, 1 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brookside Family Practice & Pediatrics hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D0705879) is associated with this NPI, valid through October 11, 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 Brookside Family Practice & Pediatrics was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Brookside Family Practice · NPI 1033234133
Family Medicine organization in Pottstown, Pennsylvania. Organization record, active in the CMS NPPES registry since March 20, 2007.
## Identity
- **NPI:** 1033234133 (Entity type: Organization)
- **Enumerated:** March 20, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Brookside Family Practice & Pediatrics
- **Organization subpart:** Yes (part of Brookside Family Practice & Pediatrics)
- **Authorized official:** Shana Enochs, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 1555 MEDICAL DRIVE, Pottstown, PA 19464
- **Phone:** (610) 326-7820 · **Fax:** (610) 326-4068
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 42 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (17), Nurse Practitioner (13), Internal Medicine (4); 1 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1033234133/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2016
- **Other identifiers:** Other 0045725011 (PA); Other 26191 (PA); Medicare PIN 026191D8P (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033234133) · Data from the CMS NPPES public registry.