IndividualActive
John Brandsema, MD
NPI 1275889792 · Neurology with Special Qualifications in Child Neurology Physician · Philadelphia, PA
Provider details
- NPI number
- 1275889792
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD448845 (PA)
Practice location
3401 Civic Center Blvd
Ctrb 10010
Philadelphia, PA 19104-4319
Phone: (215) 590-1719
Fax: (215) 590-1771
Mailing address
100 E Penn Sq
Philadelphia, PA 19107-3323
Registry dates
- Enumerated
- 2012-08-02
- Last updated
- 2013-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.