BROAD AND GRANGE FAMILY PRACTICE
NPI 1164684601
Clinic/Center - Primary Care in Philadelphia, PA

Active since June 26, 2008
5751 N BROAD ST, PHILADELPHIA, PA 19141(215) 843-0672(215) 843-0674 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broad And Grange Family Practice NPPES

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

BROAD AND GRANGE FAMILY PRACTICE (NPI 1164684601) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since June 2008. The organization lists George Edward Fisher, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1164684601
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMT AIRY/ GERMANTOWN MEDICAL AND REHAB ASSOCIATES
Location Address5751 N BROAD STPhiladelphia, PA 19141-2307
Mailing Address5751 N Broad StPhiladelphia, PA 19141-2307 · (215) 843-0672 · Fax (215) 843-0674
Fax(215) 843-0674
Organization SubpartNo
Authorized OfficialGeorge Edward FisherMedical Doctor · (215) 843-0672
Enumeration DateJune 26, 2008
NPI 1164684601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in PA · MD061558L
5751 N BROAD ST, Philadelphia, PA 19141

Other Names 1

Other NameBroad And Grange Family Practice

Other Identifiers 6

OtherHMO2590672PA · Aetna Us Healthcare
Medicare UPING61513PA
Other30010670PA · Keystone Mercy
Other34699 MD061558LPA · Healthpartners
Other2265537000Khpe, Personal Choice
Other954658PA · Blue Cross/ Blue Shield

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
5751 N BROAD ST
PHILADELPHIA, PA 19141

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 Mt Airy/ Germantown Medical And Rehab Associates's NPI number?

The NPI number for Mt Airy/ Germantown Medical And Rehab Associates is 1164684601. It was assigned to this organization in the NPPES registry on June 26, 2008. The provider is also known as Broad And Grange Family Practice.

Where is Mt Airy/ Germantown Medical And Rehab Associates located?

Mt Airy/ Germantown Medical And Rehab Associates is located at 5751 N Broad St, Philadelphia, PA 19141. The listed phone number is (215) 843-0672.

What is Mt Airy/ Germantown Medical And Rehab Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mt Airy/ Germantown Medical And Rehab Associates was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.