1. Home
  2. Directory
  3. Pennsylvania
  4. Danville
  5. Radiology
  6. NPI Profile

DR. BRANDON KENNETH FORNWALT MD, PHD
NPI 1811212707
Radiology - Diagnostic Radiology in Danville, PA

Active since April 02, 2010
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6301(570) 271-5976 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brandon Kenneth Fornwalt Md, Phd NPPES

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

DR. BRANDON KENNETH FORNWALT MD, PHD (NPI 1811212707) is an individual diagnostic radiology provider in Danville, Pennsylvania, licensed in Pennsylvania (MD467471) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1811212707
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BRANDON KENNETH FORNWALTCredential: MD, PHD
Location Address100 N ACADEMY AVEDanville, PA 17822-5724
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 271-6301
Fax(570) 271-5976
Sole ProprietorNo
Enumeration DateApril 2, 2010
Last NPPES UpdateJuly 5, 2019
✔ NPI 1811212707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · MD467471
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 N ACADEMY AVE, Danville, PA 17822
Open in Google Maps ↗

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.

DR. TARA JEAN LOUX MD
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 214-7967
MS. DENISE K HACKMAN RD, LDN
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-5332
DR. DANIEL CARROLL GEARY MD
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6212
MS. MONISA DEANNE WAGNER
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
JESSICA LYNN CARNEY
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
CHRISTIE BUONPANE
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
MAURA ELIZABETH GABLE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
ROSLYN MARIE FEASTER
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 Brandon Fornwalt's NPI number?

The NPI number for Brandon Fornwalt is 1811212707. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Brandon Fornwalt located?

Brandon Fornwalt practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6301.

What is Brandon Fornwalt's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Brandon Fornwalt was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.