FOOTHILLS MEDICAL GROUP AT BRMC RHC
NPI 1073956850
Pediatrics in Bradford, PA
- Organization
- Pediatrics
About FOOTHILLS MEDICAL GROUP AT BRMC RHC
This page provides the complete NPI Profile along with additional information for Foothills Medical Group At Brmc Rhc, a pediatrician established in Bradford, Pennsylvania operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1073956850 assigned on April 2013. The practitioner's primary taxonomy code is 208000000X with license number 5141201 (PA). The provider is registered as an organization and their NPI record was last updated 3 years ago. Foothills Medical Group At Brmc Rhc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Foothills Medical Group At Brmc Rhc. The authorized official of this NPI record is Jill M Owens Md (Ceo)
- NPI
- 1073956850 Verify this NPI
- Provider Legal Name
- OLEAN GENERAL HOSPITAL
- Other Organization Name
- FOOTHILLS MEDICAL GROUP AT BRMC RHC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 116 INTERSTATE PKWY SUITE 42 BRADFORD, PA 16701
- Location Phone
- (814) 362-8390
- Location Fax
- (814) 362-8385
- Mailing Address
- 116 INTERSTATE PKWY BRADFORD, PA 16701
- Mailing Phone
- (814) 368-4143
- Mailing Fax
- (814) 362-8385
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2013
- Last Update Date
- 10-10-2023
- Code Navigator
A pediatrician like Foothills Medical Group At Brmc Rhc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5141201
- License State
- PA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 5141201 (PA) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007755030043 | MEDICAID (05) | PA | |
| 393420 | OTHER (01) | PA | CMS CERTIFICATION |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BRADFORD, PA 16701
BRADFORD, PA 16701
BRADFORD, PA 16701
BRADFORD, PA 16701
BRADFORD, PA 16701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073956850, enumerated as an "organization" on April 11, 2013.
The provider is located at 116 INTERSTATE PKWY SUITE 42 BRADFORD, PA 16701 and the phone number is (814) 362-8390.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.