Provider Demographics
NPI:1568773000
Name:BRIAN J MURPHY DO PC
Entity Type:Organization
Organization Name:BRIAN J MURPHY DO PC
Other - Org Name:MURPHY REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-558-9222
Mailing Address - Street 1:485 BALTIMORE PIKE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1161
Mailing Address - Country:US
Mailing Address - Phone:610-558-9222
Mailing Address - Fax:610-558-9033
Practice Address - Street 1:485 BALTIMORE PIKE
Practice Address - Street 2:SUITE 202
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1161
Practice Address - Country:US
Practice Address - Phone:610-558-9222
Practice Address - Fax:610-558-9033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009326L208100000X
PAPT006256L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG94443Medicare UPIN
PA0277729Medicare PIN