Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Slate Belt Family Practice PC

Organization Family Medicine Physician · NPI 1396715389

Slate Belt Family Practice PC provides Family Medicine Physician services in Wind Gap, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

826 S Broadway
Wind Gap, PA 18091-1628 Not confirmed with CMS for 18 years — call before visiting
Phone: (610) 863-3019
Fax: (610) 863-6732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS-007427L (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS-006844L (PA)

Record details

NPI number1396715389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Brotzman — Physician · (610) 863-3019
NPI enumeratedJanuary 24, 2006
Last updated in NPPESApril 24, 2008
Mailing address826 S Broadway, Wind Gap, PA 18091-1628

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