Slate Belt Family Practice PC
NPI 1396715389ActiveOrganization· Family Medicine· Wind Gap, PA
Family Medicine in Wind Gap, Pennsylvania, registered in NPPES in January 2006. The authorized official on file is Wayne J. Brotzman, D.O., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396715389 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2006 |
| Last updated in NPPES | Apr 24, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS-007427L | PA |
| Family Medicine | 207Q00000X | OS-006844L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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