BRIAN WALSH (NPI# 1902845670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902845670 |
| Entity Type | Individual |
| Full Name | BRIAN WALSH |
| Credential | D.O. |
| Practice Address |
4702 N 5th St Philadelphia PA 19120-4108 |
| Practice Telephone | 2153294888 |
| Practice Fax Number | 2153295615 |
| Mailing Telephone | 2153294888 |
| Mailing Fax Number | 2153295615 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS006489L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | IBC | 0091396000 | 01 |
| PA | MEDICARE | 192650 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730545385 | Brian Christopher Walsh | Occupational Therapist | 606 Nh Route 175 Unit B, Ashland, NH 03217-4704 | 2016-01-12 |
| 1720273907 | Brian J Walsh | Dentist | 370 W Coshocton St, Johnstown, OH 43031-1113 | 2007-09-11 |
| 1720205685 | Brian Francis Walsh | Chiropractor | 1413 Cherry St, Cassville, MO 65625-1932 | 2007-04-19 |
| 1275558207 | Brian L Walsh | Chiropractor | 307 W 5th St, Storm Lake, IA 50588-1743 | 2006-07-12 |
| 1720022528 | Brian Walsh | Emergency Medicine | Morristown Memorial Hospital (emergency Department), 100 Madison Avenue, Morristown, NJ 07960 | 2006-06-15 |
| 1851373823 | Brian John Walsh | Internal Medicine | 31 Gooden Ave, Dover, DE 19904 | 2005-11-16 |
| 1043772015 | Brian Patrick Walsh | Physical Therapy Assistant | 4200 Washington St, Hollywood, FL 33021-7353 | 2019-04-01 |
| 1376023317 | Brian P Walsh | Counselor | 2011 S 25th St Ste 108, Fort Pierce, FL 34947-4795 | 2018-08-20 |
| 1790103083 | Brian Walsh | Physical Medicine & Rehabilitation | 3710 Olentangy River Rd, Columbus, OH 43214-3426 | 2014-04-03 |
| 1992043160 | Brian Walsh | Pediatrics | 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115-5737 | 2013-01-23 |
| Street Address |
4702 N 5TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19120-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861434680 | Philadelphia Family Medical Associates | Family Medicine | 4702 N 5th St, Philadelphia, PA 19120-4108 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364615 | Jane Clay Zakrzewski | Social Worker | Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 | 2019-03-12 |
| 1861964264 | Yi Ty Zhang | Nurse Practitioner | 101 E Olney Ave Ste C5, Philadelphia, PA 19120 | 2018-12-23 |
| 1447799770 | John Beecroft | Counselor | 4943 North 5th Street, Philadelphia, PA 19120 | 2017-02-20 |
| 1063869915 | Syed Naved Zahid | Dentist | 5675 Nth Front St., Philadelphia, PA 19120 | 2016-05-20 |
| 1447619838 | Danielle Green | Nurse Practitioner | 5846 North 4th St, Philadelphia, PA 19120 | 2016-02-15 |
| 1134544265 | Nt&t Corporation | Pharmacy | 439 West Chew Ave 1st F, Philadelphia, PA 19120 | 2014-02-26 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1619261682 | Advanced Family Dentistry, P.C. | Dentist | 6100-02 5th Street, Storefront, Philadelphia, PA 19120 | 2011-06-07 |
| 1346539061 | Capri N. Burt | Prosthetist | 5962 N. 3rd Street, Philadelphia, PA 19120 | 2011-04-04 |
| 1063719334 | James A. Brown | Prosthetist | 5962 N. 3rd St., Phila, PA 19120 | 2011-02-22 |
| Find all providers in zip 19120 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19120 |
Please comment or provide details below to improve the information on BRIAN WALSH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.