Provider Demographics
NPI:1043236672
Name:DROSE-BIGATEL, LEVELLE (MD)
Entity Type:Individual
Prefix:
First Name:LEVELLE
Middle Name:
Last Name:DROSE-BIGATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEVELLE
Other - Middle Name:
Other - Last Name:DROSE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1601 MCDANIEL DR
Mailing Address - Street 2:SUITE 50
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-7030
Mailing Address - Country:US
Mailing Address - Phone:484-905-8000
Mailing Address - Fax:484-905-8005
Practice Address - Street 1:1601 MCDANIEL DR
Practice Address - Street 2:SUITE 50
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-7030
Practice Address - Country:US
Practice Address - Phone:484-905-8000
Practice Address - Fax:484-905-8005
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD420530207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH18227Medicare UPIN
PAH18227Medicare UPIN
PA0019350820004Medicaid
MA001077701OtherMEDICARE