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

John Alan Detre, MD

Individual provider Neurology Physician · NPI 1629002399

John Alan Detre, MD is a Neurology in Philadelphia, Pennsylvania. Graduated from Yale University School of Medicine in 1986, 40 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
40
Trained at
Yale University School of Medicine
Licensed in
PA
In the registry since
2006
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

3400 Civic Center Blvd 2nd Fl South Pavilion
Philadelphia, PA 19104-5127
Phone: (215) 662-3606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD039705E (PA)

Record details

NPI number1629002399
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESAugust 10, 2015
Mailing address3400 Civic Center Blvd, 2nd Floor, South Pavilion, Philadelphia, PA 19104-5127

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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