MEDICARE: BERWYN HEALTH AND WELLNESS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QB0002X	Obesity Medicine (Family Medicine) Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1417712662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERWYN HEALTH AND WELLNESS PC

Provider Business Mailing Address
First Line	:	901 LANCASTER AVE STE 100
Second Line	:
City	:	BERWYN
State	:	PA
Zip	:	19312-1710
Country	:	US
Telephone Number	:	610-251-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 LANCASTER AVE STE 100
Second Line	:
City	:	BERWYN
State	:	PA
Zip	:	19312-1710
Country	:	US
Telephone Number	:	610-251-2525
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. ZYGMUNT PORADA III
Credential	:
Telephone Number	:	443-641-6227

Provider Enumeration Date	:	02/16/2024
Last Update Date	:	02/16/2024

Similar Medicare Providers

1639534142 — MS. KAITLIN M SCHAFER PA-C
Practice Location Address:

901 LANCASTER AVE
BERWYN, PA
19312-1710

Practice Phone: 610-854-8144
Practice Fax:

1851644942 — LOSE WEIGHT 1 LLC
Practice Location Address:

901 LANCASTER AVE , SUITE 100
BERWYN, PA
19312-1710

Practice Phone: 610-251-2525
Practice Fax: 610-251-2599

1851771125 — MRS. ALEXANDRA OTT CRNP
Practice Location Address:

901 LANCASTER AVE
BERWYN, PA
19312-1710

Practice Phone: 484-995-2622
Practice Fax:

1447098231 — NIKKIRA T TOWNSEND CRNP
Practice Location Address:

901 LANCASTER AVE # 100
BERWYN, PA
19312-1710

Practice Phone: 610-251-2525
Practice Fax:

1972504017 — DR. BARI MICHELE BRANDT M.D.
Practice Location Address:

1175 LANCASTER AVE
BERWYN, PA
19312-1297

Practice Phone: 610-384-9100
Practice Fax: 610-384-3937

1942292313 — JOHN DOUGLAS LAWSON DO
Practice Location Address:

1055 WESTLAKES DR STE 3152
BERWYN, PA
19312-2410

Practice Phone: 215-346-6050
Practice Fax: 215-220-3562

Directions to “BERWYN HEALTH AND WELLNESS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.