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SLATE BELT FAMILY PRACTICE PC
NPI 1396715389
Family Medicine in Wind Gap, PA

Active since January 24, 2006CLIA 39D0876477 · Microscopy
826 S BROADWAY, WIND GAP, PA 18091(610) 863-3019(610) 863-6732 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Slate Belt Family Practice Pc NPPES

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

SLATE BELT FAMILY PRACTICE PC (NPI 1396715389) is a healthcare organization registered as a family medicine in Wind Gap, Pennsylvania and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through September 16, 2027 and lists Wayne J Brotzman, Physician, as its authorized official.

NPPES Registry Identity

NPI1396715389
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSLATE BELT FAMILY PRACTICE PC
Location Address826 S BROADWAYWind Gap, PA 18091-1628
Mailing Address826 S BroadwayWind Gap, PA 18091-1628 · (610) 863-3019 · Fax (610) 863-6732
Phone(610) 863-3019
Fax(610) 863-6732
Organization SubpartNo
Authorized OfficialWayne J BrotzmanPhysician · (610) 863-3019
Enumeration DateJanuary 24, 2006
Last NPPES UpdateApril 24, 2008
✔ NPI 1396715389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS-007427L✔ Licensed in PA · OS-006844L
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.

826 S BROADWAY, Wind Gap, PA 18091
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Other Identifiers 1

Medicare PIN122737PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 39D0876477

Slate Belt Family Practice · Wind Gap, PA
Active · expires Sep 16, 2027
CLIA Number39D0876477
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorWayne J. Brotzman Jr Do
Laboratory Phone(610) 863-3019
Laboratory LocationSlate Belt Family Practice826 S Broadway, Wind Gap, PA 18091
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

MICHAEL S DEPAOLO D.O.
Family Medicine
826 S BROADWAY
WIND GAP, PA 18091
Northampton County (610) 863-3019
WAYNE J BROTZMAN JR. D.O.
Family Medicine
826 S BROADWAY
WIND GAP, PA 18091
Northampton County (610) 863-3019

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 Slate Belt Family Practice PC's NPI number?

The NPI number for Slate Belt Family Practice PC is 1396715389. It was assigned to this organization in the NPPES registry on January 24, 2006.

Where is Slate Belt Family Practice PC located?

Slate Belt Family Practice PC is located at 826 S Broadway, Wind Gap, PA 18091. The listed phone number is (610) 863-3019.

What is Slate Belt Family Practice PC's specialty?

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

Does Slate Belt Family Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0876477) is associated with this NPI, valid through September 16, 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 Slate Belt Family Practice PC was last updated on April 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.