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

Olean General Hospital

Organization Family Medicine Physician · NPI 1336411099

Olean General Hospital is a Family Medicine Physician in Bradford, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
5
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Practice location Address checks out

116 Interstate Pkwy Ste 41
Bradford, PA 16701-1036
Phone: (814) 363-9484
Fax: (814) 362-3854
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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 (PA)
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X (PA)
Pediatrics Physician Taxonomy 208000000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1336411099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Owens — Ceo · (716) 373-2600
Other names Foothills Medical Group At Brmc Rhc; Foothills Medical Group At Brmc Rhc
NPI enumeratedJanuary 27, 2012
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address908 Niagara Falls Blvd Ste 208, North Tonawanda, NY 14120-2019

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