Healthcare Provider Details

I. General information

NPI: 1013595396
Provider Name (Legal Business Name): BRANDON GREGORY TWOMBLY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 E HAVERFORD RD STE 300
BRYN MAWR PA
19010-3848
US

IV. Provider business mailing address

825 OLD LANCASTER RD STE 320
BRYN MAWR PA
19010-3235
US

V. Phone/Fax

Practice location:
  • Phone: 610-525-2990
  • Fax: 610-525-2099
Mailing address:
  • Phone: 610-527-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS022995
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: