# THE CENTER FOR SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346646601
- **Authorized official:** BRIAN SHIPLE DO (SUPERVISING PHYSICIAN)
- **Authorized official phone:** (484) 472-8812

## Contact information

- **Practice address:** 905 W SPROUL RD, SUITE 106, SPRINGFIELD, PA 19064-1254
- **Practice address phone:** (484) 472-8812
- **Mailing address:** 905 W SPROUL RD, SUITE 106, SPRINGFIELD, PA 19064-1254
- **Mailing address phone:** (484) 472-8812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OA003437 | PA | Yes |

## Other

- **Enumeration date:** 11/14/2014
- **Last updated:** 11/14/2014
