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

Lindsay Bray Dougherty

Individual provider Nurse Practitioner · NPI 1669957155

Lindsay Bray Dougherty is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2018, 8 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Delaware and Pennsylvania.

Years since qualifying
8
Licensed in
DE, PA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3400 Civic Center Blvd 3 W
Philadelphia, PA 19104-5127
Phone: (215) 615-6868
Fax: (215) 615-3449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP021083 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence LP-0000277 (DE)

Record details

NPI number1669957155
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 1, 2018
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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