Active NPI
Plastic Surgical Associates of Pittsburgh, P.C.
- Plastic Surgery Physician
- Pittsburgh, PA
National Provider Identifier
1023060779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- PLASTIC SURGICAL ASSOCIATES OF PITTSBURGH, P.C.
- Practice address
- 1050 Bower Hill Rd
Suite 105
Pittsburgh, PA 15243-1800 - Phone
- (412) 572-6164
- Fax
- (412) 572-6156
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert W Bragdon, MD
- Title
- President
- Phone
- (412) 572-6164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
1050 Bower Hill Rd
Suite 105
Pittsburgh, PA 15243-1800
Mailing address
PO Box 719
Monroeville, PA 15146-0719
Phone (412) 457-0175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015516860001 | Medicaid | PA |
Other names 1
- Bragdon-Stofman Plastic Surgery Group PC
National Provider Directory
National Provider DirectoryLocations
1350 Locust St
Ste G103
Pittsburgh, PA 15219
Phone (412) 232-5616
125 Warrendale Bayne Rd
Ste 150
Warrendale, PA 15086
Phone (412) 232-5616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455753600000",
"number": "1023060779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151460719",
"telephone_number": "412-457-0175",
"fax_number": "412-457-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 BOWER HILL RD",
"address_2": "SUITE 105",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431800",
"telephone_number": "412-572-6164",
"fax_number": "412-572-6156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGICAL ASSOCIATES OF PITTSBURGH, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2016-02-18",
"status": "A",
"authorized_official_last_name": "BRAGDON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-572-6164",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015516860001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bragdon-Stofman Plastic Surgery Group PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.