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Contact Information

TIMOTHY P PENDLETON, MD
111 SUMMIT STREET
BROOKVILLE, PA15825
 Phone: 814-849-8329
 Fax: 814-849-5441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for TIMOTHY P PENDLETON · (Male)

NPI Number 1801862693
Status Active
Credentials MD
Entity Individual
Enumeration date 02/23/2006
Last updated 12/16/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A53094
  • PA License # MD428157
  • PA Medicaid 101770225
  • PA Other 1486953 AETNA
  • PA Other 612414900 BLACK LUNG
  • PA Other 104242 GEISINGER
Hospital affiliation(s)
  • BROOKVILLE HOSPITAL - (Critical Access)
    100 HOSPITAL ROAD
    BROOKVILLE, PA 15825
  • PUNXSUTAWNEY AREA HOSPITAL - (Acute Care)
    81 HILLCREST DRIVE
    PUNXSUTAWNEY, PA 15767
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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