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BROOKSIDE FAMILY PRACTICE
NPI 1033234133
Family Medicine in Pottstown, PA

Active since March 20, 2007CLIA 39D0705879 · Waiver
1555 MEDICAL DRIVE, POTTSTOWN, PA 19464(610) 326-7820(610) 326-4068 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1033234133
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROOKSIDE FAMILY PRACTICE & PEDIATRICS
Location Address1555 MEDICAL DRIVEPottstown, PA 19464
Mailing Address1555 Medical DrivePottstown, PA 19464 · (610) 326-7820 · Fax (610) 326-4068
Phone(610) 326-7820
Fax(610) 326-4068
Organization SubpartYes
Authorized OfficialShana M EnochsCredentialing Specialist · (610) 327-4200
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 14, 2016
✔ NPI 1033234133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD027759E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1555 MEDICAL DRIVE, Pottstown, PA 19464
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Other Names 1

Doing Business AsBrookside Family Practice

Other Identifiers 3

Other0045725011PA · Keystone Hmo
Other26191PA · Blue Shield Assign Acct
Medicare PIN026191D8PPA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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, PA
Active · expires Oct 11, 2027
CLIA Number39D0705879
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorHermine Stein Do
Laboratory Phone(610) 326-7820
Laboratory LocationBrookside Family Practice1555 Medical Drive, Pottstown, PA 19464
CLIA data matches this NPI record on: Address Name Phone
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 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.

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.

What insurance does Brookside Family Practice & Pediatrics accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brookside Family Practice & Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.