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Domenick Braccia D.O.

Medical Specialty Clinic/Center in Havertown, PA · enumerated 2009 · authorized official Domenick Braccia, Medical Director.

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

National Provider Identifier

1952542615

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Registry record

Entity type Organization (Type 2)
Legal business name Domenick Braccia D.O.
Other name <Unavail>
Practice address 2010 W Chester Pike, Suite 310, Havertown, PA, 19083
Phone (610) 924-0600
Fax (610) 924-0627
Enumeration date Mar 10, 2009
Last updated in NPPES May 13, 2009

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities · License OS006737L (PA) Secondary
261QI0500X Infusion Therapy Clinic/Center Ambulatory Health Care Facilities · License OS006737L (PA) Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities · License OS006737L (PA) Secondary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License OS006737L (PA) Primary
261QP3300X Pain Clinic/Center Ambulatory Health Care Facilities · License OS006737L (PA) Secondary

Authorized official

Name Domenick Braccia
Title Medical Director
Phone (610) 924-0600

Other identifiers

Identifier Type State Issuer
0012371310008 Medicaid PA -
1794675 Other PA BLUE SHIELD
648523 Other PA BLUE SHIELD

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 Domenick Braccia D.O.?
NPPES lists Domenick Braccia (Medical Director) as the authorized official for this organization.
What is the NPI number for Domenick Braccia D.O.?
The NPI for Domenick Braccia D.O. is 1952542615, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-13.