Healthcare Provider Details

I. General information

NPI: 1568495877
Provider Name (Legal Business Name): WESTFIELD FAMILY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 EAST MAIN STREET
SHERMAN NY
14781
US

IV. Provider business mailing address

115 EAST MAIN STREET PO BOX 570
SHERMAN NY
14781
US

V. Phone/Fax

Practice location:
  • Phone: 716-326-4678
  • Fax: 716-326-4914
Mailing address:
  • Phone: 716-326-4678
  • Fax: 716-326-4914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. DONALD FRANK BRAUTIGAM
Title or Position: CEO
Credential: MD
Phone: 716-326-4678