BRANCH MEDICAL CLINIC PHILADELPHIA
NPI 1609381623
Clinic/Center - Military/U.S. Coast Guard Outpatient in Philadelphia, PA

Active since December 13, 2017
4898 S BROAD ST, PHILADELPHIA, PA 19112(215) 897-8147 Get Directions Write a Review

NPPES record last updated: December 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Branch Medical Clinic Philadelphia NPPES

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

BRANCH MEDICAL CLINIC PHILADELPHIA (NPI 1609381623) is a healthcare organization registered as a military/u.s. coast guard outpatient in Philadelphia, Pennsylvania and active in the NPI registry since December 2017. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1609381623
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameBRANCH MEDICAL CLINIC PHILADELPHIA
Location Address4898 S BROAD STPhiladelphia, PA 19112-1320
Mailing Address250 Wood RdAnnapolis, MD 21402-1257
Organization SubpartYesParent: Naval Health Clinic Annapolis
Authorized OfficialWilliam M CondonBumed Ubo · (240) 401-3643
Enumeration DateDecember 13, 2017
NPI 1609381623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
4898 S BROAD ST, Philadelphia, PA 19112

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 Branch Medical Clinic Philadelphia's NPI number?

The NPI number for Branch Medical Clinic Philadelphia is 1609381623. It was assigned to this organization in the NPPES registry on December 13, 2017.

Where is Branch Medical Clinic Philadelphia located?

Branch Medical Clinic Philadelphia is located at 4898 S Broad St, Philadelphia, PA 19112. The listed phone number is (215) 897-8147.

What is Branch Medical Clinic Philadelphia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Branch Medical Clinic Philadelphia was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.