NPI Record of BROOKVILLE EMERGENCY GROUP PC NPI 1396179438

Emergency Medicine in Brookville, PA

Complete NPI Record


Field Name Value Definition
NPI1396179438National Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Entity type code (type of health care provider assigned an NPI).
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILProvider Employer Identification Number (EIN).
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameBROOKVILLE EMERGENCY GROUP PCProvider organization name.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address200 CORPORATE BLVDProvider first line mailing address.
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Second Line Business Mailing AddressSUITE 201Provider second line mailing address.
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City NameLAFAYETTEProvider mailing address city name.
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameLAProvider mailing address State name.
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code705083870Provider mailing address postal code.
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USProvider mailing address country code.
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Line Business Practice Location Address100 HOSPITAL RDProvider first line location address.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameBROOKVILLEProvider location address city name.
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NamePAProvider location address State code.
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code158251367Provider location address postal code.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USProvider location address country code.
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number8008939698Provider location address telephone number.
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date8/26/2013Provider enumeration date.
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date8/26/2013Last update date.
The date that a record was last updated or changed.
Authorized Official Last NameWALLERAuthorized official last name.
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameSYLVANAuthorized official first name.
The first name of the authorized official.
Authorized Official Title or PositionPRESIDENTAuthorized official title or position.
The title or position of the authorized official.
Authorized Official Telephone Number8008939698Authorized official telephone number.
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1363A00000XProvider taxonomy code.
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1N
Healthcare Provider Taxonomy Code 2363L00000X
Healthcare Provider Primary Taxonomy Switch 2N
Healthcare Provider Taxonomy Code 3207P00000X
Healthcare Provider Primary Taxonomy Switch 3Y
Is Organization SubpartN
Authorized Official Credential TextMD
Healthcare Provider Taxonomy Group 1193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3193200000X MULTI-SPECIALTY GROUP