Healthcare Provider Details

I. General information

NPI: 1710830856
Provider Name (Legal Business Name): BASE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4676 ROUTE 309
CENTER VALLEY PA
18034-8200
US

IV. Provider business mailing address

4676 ROUTE 309
CENTER VALLEY PA
18034-8200
US

V. Phone/Fax

Practice location:
  • Phone: 215-544-2787
  • Fax: 877-223-7692
Mailing address:
  • Phone: 215-544-2787
  • Fax: 877-223-7692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN MATTHEW DUNN
Title or Position: OWNER
Credential: MD
Phone: 215-544-2787