BROCKIE INTERNAL MEDICINE – NPI #1215994934
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

BROCKIE INTERNAL MEDICINE is a provider located in YORK, PA. NPPES has assigned the NPI number 1215994934 to BROCKIE INTERNAL MEDICINE on April 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROCKIE INTERNAL MEDICINE” is a dba name, the actual legal business name for this organization is WELLSPAN MEDICAL GROUP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 16 years ago on Aug 10, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROCKIE INTERNAL MEDICINE below.

NPI Profile for
WELLSPAN MEDICAL GROUP

NPI Number
1215994934
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WELLSPAN MEDICAL GROUP
Doing Business As (dba): BROCKIE INTERNAL MEDICINE
Primary location
924 COLONIAL AVE STE B
YORK, PA 17403-3450
Phone: (717) 845-8623 Fax: (717) 843-6682
Mailing address
1803 MOUNT ROSE AVE
SUITE B3
YORK, PA 17403-3051
Phone: (717) 851-1405 Fax: (717) 843-6682
Organization Subpart
No
Authorized Official
AMY WILKINSON
CREDENTIALING COORDINATOR
Phone: (717) 851-1405
Updated
Identifiers

Identifiers for BROCKIE INTERNAL MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAPA5126007
OTHERAMERI 65PA COLONIALPA0068498001
OTHERAMERI 65PA GEORGE STPA0068498000
OTHERAMERIHEALTH COLONIAL AVEPA1142285
OTHERAMERIHEALTH GEORGE STPA20010095
OTHERCAPITAL BLUE CROSSPA03005700
OTHERCAREFIRST MD BCBSMDDJ3Q
OTHERGATEWAYPA1519824
OTHERGEISINGER PCPPAS1EM
OTHERGEISINGER SPPA354T
OTHERHIGHMARK BLUE SHIELDPA059784
OTHERJOHN HOPKINSPA800174
OTHERRAILROAD MEDICAREPACA3246
OTHERUNISON COLONIAL AVEPA82194
OTHERUNISON GEORGE STPA82201
MEDICAIDPA100721360243
MEDICAIDPA1007721360092
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.