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

Dr. Randolph P. Heinzel, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1053522045

Dr. Randolph P. Heinzel, MD is an Obstetrics/Gynecology in Broomall, Pennsylvania. Graduated from Southern Illinois University School of Medicine in 2003, 23 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Trained at
Southern Illinois University School of Medicine
Licensed in
PA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1991 Sproul Rd Ste 200
Broomall, PA 19008-3518
Phone: (610) 325-1350
Fax: (610) 325-1357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD431692 (PA)

Record details

NPI number1053522045
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESMarch 18, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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