BROAD AXE FAMILY MEDICINE
NPI 1184678666
Family Medicine in Blue Bell, PA
About Broad Axe Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROAD AXE FAMILY MEDICINE (NPI 1184678666) is a healthcare organization registered as a family medicine in Blue Bell, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Vera Burnett-robins, Director Physician Billing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 10
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broad Axe Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
191Medicare enrollment records show 191 clinicians reassign Medicare billing to Broad Axe Family Medicine, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 78 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 191East Norriton, PA 19403
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 39D0939225
Broad Axe Family Medicine · Blue Bell, 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 Fornance Physician Services, Inc's NPI number?
The NPI number for Fornance Physician Services, Inc is 1184678666. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Broad Axe Family Medicine.
Where is Fornance Physician Services, Inc located?
Fornance Physician Services, Inc is located at 721 Skippack Pike Suite 3, Blue Bell, PA 19422. The listed phone number is (215) 793-0600.
What is Fornance Physician Services, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Fornance Physician Services, Inc enrolled in Medicare?
Yes. Fornance Physician Services, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fornance Physician Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 191 clinicians in 17 Medicare specialties reassign their Medicare billing to Fornance Physician Services, Inc. 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 (41), Internal Medicine (27) and Psychiatry (26). Of these, 4 practice at this address and 78 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fornance Physician Services, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D0939225) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Fornance Physician Services, Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Fornance Physician Services, Inc 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 Fornance Physician Services, Inc was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Broad Axe Family Medicine · NPI 1184678666
Family Medicine organization in Blue Bell, Pennsylvania. Organization record, active in the CMS NPPES registry since May 20, 2006.
## Identity
- **NPI:** 1184678666 (Entity type: Organization)
- **Enumerated:** May 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Fornance Physician Services, Inc
- **Organization subpart:** No
- **Authorized official:** Vera Burnett-Robins, DIRECTOR PHYSICIAN BILLING
## Practice location
- **Address:** 721 SKIPPACK PIKE, SUITE 3, Blue Bell, PA 19422-1700
- **Phone:** (215) 793-0600 · **Fax:** (610) 793-0759
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 191 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (41), Internal Medicine (27), Psychiatry (26); 4 practice at this address and 78 within 10 miles; [full list](https://npiprofile.com/npi/1184678666/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2018
- **Other identifiers:** Other 7990725 (PA); Other 1065049 (PA); Other 2120908 (PA); and 7 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184678666) · Data from the CMS NPPES public registry.