# BRMS OB/GYN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRADFORD REGIONAL MEDICAL SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821232406
- **Legal business name:** BRADFORD REGIONAL MEDICAL SERVICES
- **Authorized official:** RHONDA K CHILSON RN (DIRECTOR OF PRACTICE MANAGEMENT)
- **Authorized official phone:** (814) 362-8277

## Contact information

- **Practice address:** 159 INTERSTATE PKWY, BRADFORD, PA 16701-1013
- **Practice address phone:** (814) 368-3123
- **Mailing address:** 116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
- **Mailing address phone:** (814) 368-3123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD024058E | PA | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 12/21/2017
