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Academic Urology of PA, LLC

Ambulatory Surgical Clinic/Center in Bryn Mawr, PA · enumerated 2011 · authorized official David Ellis, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336439645

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Registry record

Entity type Organization (Type 2)
Legal business name Academic Urology of PA, LLC
Practice address 919 Conestoga Rd, Building 1 Suite 300, Bryn Mawr, PA, 19010
Fax (610) 525-3664
Enumeration date Apr 8, 2011
Last updated in NPPES Apr 3, 2024

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 50421501 (PA) Primary

Authorized official

Name David Ellis
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Academic Urology of PA, LLC?
NPPES lists David Ellis (President) as the authorized official for this organization.
What is the NPI number for Academic Urology of PA, LLC?
The NPI for Academic Urology of PA, LLC is 1336439645, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-03.