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MEMORIAL FAMILY MEDICINE AT BROGUE
NPI 1386173763
Family Medicine in Brogue, PA

Active since June 08, 2017CLIA 39D1075729 · Waiver
2500 DELTA RD, BROGUE, PA 17309(717) 927-8434(717) 927-6274 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Memorial Family Medicine At Brogue NPPES

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

MEMORIAL FAMILY MEDICINE AT BROGUE (NPI 1386173763) is a healthcare organization registered as a family medicine in Brogue, Pennsylvania and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Christopher P. Markley, Sr Vp, Strat Svcs/gen Counsel, as its authorized official.

NPPES Registry Identity

NPI1386173763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePINNACLE HEALTH REGIONAL PHYSICIANS
Location Address2500 DELTA RDBrogue, PA 17309-9106
Mailing Address409 S 2nd St Ste 2fHarrisburg, PA 17104-1612
Phone(717) 927-8434
Fax(717) 927-6274
Organization SubpartNo
Authorized OfficialChristopher P. MarkleySr Vp, Strat Svcs/gen Counsel · (717) 231-8210
Enumeration DateJune 8, 2017
✔ NPI 1386173763 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.
2500 DELTA RD, Brogue, PA 17309
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Other Names 1

Doing Business AsMemorial Family Medicine At Brogue

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Family Medicine At Brogue is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

466

Medicare enrollment records show 466 clinicians reassign Medicare billing to Memorial Family Medicine At Brogue, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Nurse Practitioner100
Family Practice69
Internal Medicine39
Hospitalist28
Certified Nurse Midwife (CNM)24
Cardiovascular Disease (Cardiology)22
Vascular Surgery21
Obstetrics/Gynecology19
30 other specialties144

Nearest to this location (20)

See all 466
Douglas Brenneman, D.O.
Family Practice
NPI 1669468831
2500 DELTA RD
Brogue, PA 17309
(717) 927-8434
✔ PECOS✔ Accepts MedicareSame address
Justin Rohrback, CRNP
Nurse Practitioner
NPI 1801412465
2500 DELTA RD
Brogue, PA 17309
(717) 927-8434
✔ PECOS✔ Accepts MedicareSame address
Jamie Lilie, CRNP
Nurse Practitioner
NPI 1225313943
3141 CAPE HORN RD
Red Lion, PA 17356
(717) 246-5180
✔ PECOS✔ Accepts Medicare9.3 mi
Shawn Moyer, MD
Family Practice
NPI 1942241112
3141 CAPE HORN RD
Red Lion, PA 17356
(717) 246-5180
✔ PECOS✔ Accepts Medicare9.3 mi
Belinda Nebedum, M.D.
Internal Medicine
NPI 1255676037
3141 CAPE HORN RD
Red Lion, PA 17356
(717) 246-5180
✔ PECOS✔ Accepts Medicare9.3 mi
Sarah Rever, CRNP
Nurse Practitioner
NPI 1134847320
3141 CAPE HORN RD
Red Lion, PA 17356
(717) 246-5180
✔ PECOS✔ Accepts Medicare9.3 mi
Travis Willow, NP-C
Nurse Practitioner
NPI 1396385217
3141 CAPE HORN RD
Red Lion, PA 17356
(717) 246-5180
✔ PECOS✔ Accepts Medicare9.4 mi
William Davis, DO
Family Practice
NPI 1275506651
200 BAILEY DR STE 101
Stewartstown, PA 17363
(717) 993-2543
✔ PECOS✔ Accepts Medicare10 mi
Jordan Sandoval
Nurse Practitioner
NPI 1972433936
200 BAILEY DR STE 101
Stewartstown, PA 17363
(717) 993-2543
✔ PECOS10 mi
Melencio Ventura, MD
Pediatric Medicine
NPI 1427144203
2860 CAROL RD
York, PA 17402
(717) 757-3400
✔ PECOS12 mi
Anthony Corbo, DO
Obstetrics/Gynecology
NPI 1841781069
1232 GREENSPRINGS DR
York, PA 17402
(717) 845-9639
✔ PECOS✔ Accepts Medicare13 mi
Erin Koser, CNM
Certified Nurse Midwife (CNM)
NPI 1629506597
1232 GREENSPRINGS DR
York, PA 17402
(717) 845-9639
✔ PECOS✔ Accepts Medicare13 mi
Stephen Roda, DO
Emergency Medicine
NPI 1649231515
90 GOOD DR STE 101
Lancaster, PA 17603
(717) 299-3020
✔ PECOS13 mi
Jason Comeau, M.D.
General Surgery
NPI 1811108152
2101 EMBASSY DR
Lancaster, PA 17603
(717) 735-7410
✔ PECOS✔ Accepts Medicare14 mi
Brian Cronin, DO
Vascular Surgery
NPI 1679992382
2101 EMBASSY DR
Lancaster, PA 17603
(717) 735-7410
✔ PECOS✔ Accepts Medicare14 mi
Mark Evans, D.P.M.
Podiatry
NPI 1457571325
2101 EMBASSY DR
Lancaster, PA 17603
(717) 735-7410
✔ PECOS✔ Accepts Medicare14 mi
Carl Colombo, DO
Internal Medicine
NPI 1326075482
2860 WHITEFORD RD UNIT 1
York, PA 17402
(717) 815-2564
✔ PECOS✔ Accepts Medicare14 mi
Francis Ruggiero, MD
Otolaryngology
NPI 1093743825
2160 NOLL DR STE 200
Lancaster, PA 17603
(717) 481-8720
✔ PECOS✔ Accepts Medicare14 mi
Ashima Vaswani, M.D.
Anesthesiology
NPI 1013160514
250 COLLEGE AVE
Lancaster, PA 17603
(717) 358-7349
✔ PECOS✔ Accepts Medicare14 mi
Kamini Jagdish, MD
Hospitalist
NPI 1891758504
250 COLLEGE AVE
Lancaster, PA 17603
(717) 231-8772
✔ PECOS14 mi
See all 466 clinicians

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 39D1075729

Memorial Family Medicine At Brogue · Brogue, PA
Active · expires Oct 25, 2027
CLIA Number39D1075729
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorDr. Doug Brenneman
Laboratory Phone(717) 927-8434
Laboratory LocationMemorial Family Medicine At Brogue2500 Delta Road, Brogue, PA 17309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pinnacle Health Regional Physicians's NPI number?

The NPI number for Pinnacle Health Regional Physicians is 1386173763. It was assigned to this organization in the NPPES registry on June 8, 2017. The provider is doing business as Memorial Family Medicine At Brogue.

Where is Pinnacle Health Regional Physicians located?

Pinnacle Health Regional Physicians is located at 2500 Delta Rd, Brogue, PA 17309. The listed phone number is (717) 927-8434.

What is Pinnacle Health Regional Physicians's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pinnacle Health Regional Physicians enrolled in Medicare?

Yes. Pinnacle Health Regional Physicians is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pinnacle Health Regional Physicians?

According to the CMS Revalidation Reassignment List (October 2026 release), 466 clinicians in 38 Medicare specialties reassign their Medicare billing to Pinnacle Health Regional Physicians. 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 Nurse Practitioner (100), Family Practice (69) and Internal Medicine (39). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pinnacle Health Regional Physicians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1075729) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinnacle Health Regional Physicians was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.