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

Slate Belt Family Practice PC

Organization Family Medicine Physician · NPI 1396715389

Slate Belt Family Practice PC is a Family Medicine Physician 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
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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