1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Surgery
  6. NPI Profile

DYLAN BROKAW MD
NPI 1194288092
Surgery in Philadelphia, PA

Active since April 09, 2019PECOS Enrolled
333 COTTMAN AVE, PHILADELPHIA, PA 19111(888) 369-2427 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Brokaw Md NPPES

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

DYLAN BROKAW MD (NPI 1194288092) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD489492) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194288092
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDYLAN BROKAWCredential: MD
Location Address333 COTTMAN AVEPhiladelphia, PA 19111-2434
Mailing Address333 Cottman AvePhiladelphia, PA 19111-2434 · (888) 369-2427
Phone(888) 369-2427
Sole ProprietorNo
Enumeration DateApril 9, 2019
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1194288092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD489492
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
333 COTTMAN AVE, Philadelphia, PA 19111
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Brokaw Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

FOX CHASE CANCER CENTER MEDICAL GROUP, INC.
Anesthesiology
333 COTTMAN AVE, MED STAFF OFFICE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
JAMES SUN MD
Surgery (Surgical Oncology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 854-9799
MS. MALA T KAILASAM MD
Internal Medicine
333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
HEALTH SERVICES OF FOX CHASE CANCER CTR.
Radiology (Diagnostic Radiology)
333 COTTMAN AVE, RADIOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
ELENA DREYZIN PA-C
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (888) 369-2427
FREWEINI TESFALEDET PA
Physician Assistant
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-6900
MARIUSZ A WASIK MD
Pathology (Anatomic Pathology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-3675
DR. BARBARA C. CAVANAUGH M.D.
Radiology (Diagnostic Radiology)
333 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-3883

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 Dylan Brokaw's NPI number?

The NPI number for Dylan Brokaw is 1194288092. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Dylan Brokaw located?

Dylan Brokaw practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (888) 369-2427.

What is Dylan Brokaw's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dylan Brokaw enrolled in Medicare?

Yes. Dylan Brokaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dylan Brokaw was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.