Organization · Type 2 NPI

Isd Renal Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA

NPI number 1417566621 Active

Practice location

4800 Brown St, Ste 201
Philadelphia, PA 19139-2105

Call (215) 581-4993 Map

Fax (215) 883-1573

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1417566621
Entity type: Organization (Type 2)
Issued: Jul 24, 2020
Last updated: Jul 10, 2026
Status: Active

Other names

<unavail>
Brown Street Dialysis · doing business as
Brown Street Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1417566621

Isd Renal Inc's National Provider Identifier is 1417566621, issued on Jul 24, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 10, 2026.