MEDICARE: DR. RICHARD MICHAEL BRANTZ D.O.

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	207Q00000X	Family Medicine Physician	OS003987L	PA
2	207Q00000X	Family Medicine Physician	193400000X	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6128979	OTHER	PA	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1003858	OTHER	PA	KEYSTINE MERCY
4	00712055	OTHER	PA	AMERICHOICE
5	00422	OTHER	PA	HEALTH PARTNERS
6	0018074	OTHER	PA	AETNA
7	165550	OTHER	PA	BLUE SHIELD
8	PA10426	OTHER	PA	ELDER HEALTH

General Provider Information

NPI Number	:	1912903022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD MICHAEL BRANTZ D.O.

Provider Business Mailing Address
First Line	:	841 E HUNTING PARK AVE
Second Line	:	SUITE 110
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-4800
Country	:	US
Telephone Number	:	215-535-4494
Fax Number	:	215-535-4203

Provider Business Practice Location Address
First Line	:	841 E HUNTING PARK AVE
Second Line	:	SUITE 110
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-4800
Country	:	US
Telephone Number	:	215-535-4494
Fax Number	:	215-535-4203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	09/16/2016

Similar Medicare Providers

1689873911 — DELAWARE VALLEY COMMUNITY HEALTH, INC.
Practice Location Address:

841 E HUNTING PARK AVE 2ND FLOOR
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-537-7695
Practice Fax: 267-686-4071

1164427910 — DR. CARL NELSON LIEDMAN D.O.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 110
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-535-4494
Practice Fax: 215-535-4203

1790755015 — DR. NEIL EDWARD SLOANE M.D.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 201
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-537-7695
Practice Fax: 215-537-7001

1174594253 — DR. HENRY H. SU D.O.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 201
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-537-7695
Practice Fax: 215-537-7001

1619922580 — BRANTZ & LIEDMAN ASSOCIATES P.C.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 110
PHILADELPHIA, PA
19124-4800

Practice Phone: 213-535-4494
Practice Fax: 215-535-4203

1467480319 — DR. SEGUNDO RAMON RODRIGUEZ D.P.M.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 201
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-537-7695
Practice Fax: 215-537-7001

Directions to “ DR. RICHARD MICHAEL BRANTZ D.O.” 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.