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BROAD AXE FAMILY MEDICINE
NPI 1184678666
Family Medicine in Blue Bell, PA

Active since May 20, 2006CLIA 39D0939225 · Waiver
721 SKIPPACK PIKE, SUITE 3, BLUE BELL, PA 19422(215) 793-0600(610) 793-0759 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2018, Jun 12, 2017 (2 updates tracked since 2017).

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

NPI1184678666
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORNANCE PHYSICIAN SERVICES, INC
Location Address721 SKIPPACK PIKE, SUITE 3Blue Bell, PA 19422-1700
Mailing AddressPo Box 789967Philadelphia, PA 19178-9967 · (484) 622-7395 · Fax (484) 622-7399
Phone(215) 793-0600
Fax(610) 793-0759
Organization SubpartNo
Authorized OfficialVera Burnett-robinsDirector Physician Billing · (484) 622-7391
Enumeration DateMay 20, 2006
Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration
✔ NPI 1184678666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
721 SKIPPACK PIKE, Blue Bell, PA 19422
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Other Names 1

Doing Business AsBroad Axe Family Medicine

Other Identifiers 10

Other7990725PA · Cigna Hmo/ppo
Other1065049PA · Keystone Mercy
Other2120908PA · Alliance (mamsi)
Other0274457001PA · Amerihealth/intercounty
Other5389597PA · Aetna Ppo
Other085595PA · Aetna Hmo
Other259541PA · Highmark Blue Shield
Other33022PA · Health Partners Site #
OtherCI5397PA · Rrm
Other0274457001PA · Ibc - Pc/khpe

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 39D0939225

Broad Axe Family Medicine · Blue Bell, PA
Active · expires Jan 21, 2028
CLIA Number39D0939225
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorDr. Randi J. Zeitzer
Laboratory Phone(215) 793-0600
Laboratory LocationBroad Axe Family Medicine721 Skippack Pike Suite 3, Blue Bell, PA 19422
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DAVID C. PEET JR. MD
Family Medicine
721 SKIPPACK PIKE, SUITE 3
BLUE BELL, PA 19422
Montgomery County (215) 793-0600
DR. TERRY ANN HURTT D.M.D.
Dentist (General Practice)
721 SKIPPACK PIKE, #4
BLUE BELL, PA 19422
Montgomery County (215) 643-9430
NICOLE K. LUETKE DO
Family Medicine
721 SKIPPACK PIKE, SUITE 3
BLUE BELL, PA 19422
Montgomery County (215) 793-0600
DR. PETER S ROSENMAN D.M.D.
Dentist (General Practice)
721 SKIPPACK PIKE, SUITE 4
BLUE BELL, PA 19422
Montgomery County (215) 643-9430
HEIDI J. YUTZLER-OVERTON DO
Family Medicine
721 SKIPPACK PIKE, SUITE 3
BLUE BELL, PA 19422
Montgomery County (215) 793-0600
PETER S. ROSENMAN, DMD, PC
Dentist
721 SKIPPACK PIKE, SUITE 04
BLUE BELL, PA 19422
Montgomery County (215) 643-9430

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 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.

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 with the weekly NPPES data releases published by CMS.