Active NPIIndividual provider

Kenneth J Brislin, MD

Orthopaedic Surgery, Sports Medicine in Allentown, Pennsylvania

NPI Number1922090257
Practice location
250 Cetronia Road, Suite 303, Allentown, PA 18104-9168
Fax
610-973-6546
Last updated
January 16, 2014

Kenneth J Brislin is an Orthopaedic Surgery, Sports Medicine based in Allentown, PA. Kenneth J Brislin practices in Allentown, PA and has the professional credentials of MD. The NPI Number for Kenneth J Brislin is 1922090257 and holds a License No. MD074181L (PA). The current practice location address for Kenneth J Brislin is 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 and can be reached out via phone at 610-973-6200 and via fax at 610-973-6546.

Provider Profile Details

NPI Number
1922090257
Provider Name
Kenneth J Brislin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
250 Cetronia Road, Suite 303, Allentown, PA 18104-9168
Phone Number
610-973-6200
Fax Number
610-973-6546
Primary Taxonomy
Orthopaedic Surgery, Sports Medicine · 207XX0005X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2005
Last Update Date
January 16, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Cetronia Road
Suite 303
Allentown, PA 18104-9168
Zip
18104-9168
Phone Number
610-973-6200
Fax Number
610-973-6546
Allentown, PA 18104Get directions →

Provider Business Mailing Address Details

Address
Po Box 848269
Boston, MA 02284-8269
City
Boston
State
MA
Zip
02284-8269
Phone Number
610-973-1700
Fax Number
610-973-1778

License Information

License Number (1)
MD074181L
License State (1)
PA
Taxonomy (1)
Orthopaedic Surgery · 207X00000X
License Number (2)
MD074181L
License State (2)
PA
Taxonomy (2)
Orthopaedic Surgery, Sports Medicine · 207XX0005X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth J Brislin, MD?

The NPI number of Kenneth J Brislin, MD is 1922090257. It was assigned on August 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Kenneth J Brislin, MD?

Kenneth J Brislin, MD is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in PA under license number MD074181L.

Where does Kenneth J Brislin, MD practice?

The practice location is 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168. The office can be reached at 610-973-6200 (phone) or 610-973-6546 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922090257 directly on the NPPES registry website.

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