Individual provider Active NPI

KC Bryn Lang, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1023356169
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056031 Issued in PA
Practice address
1200 W Tabor Rd FL 4
Philadelphia, PA 19141-3019
Phone
(215) 456-3815
Fax
(215) 456-6803
NPI assigned
Jan 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056031 PA Primary

Addresses

Primary practice location

1200 W Tabor Rd FL 4
Philadelphia, PA 19141-3019

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (154) 561-8252

Other practice location 1

3400 Spruce St
Ground Floor Donner
Philadelphia, PA 19104-4238
Phone (215) 662-6698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130424000347 PA Practitioner - Physician Assistant 9133365935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5401 Old York Rd
Philadelphia, PA 19141-3046

5501 Old York Rd
Phila, PA 19141-3018

5501 Old York Rd Levy 2
Einstein Pediatrics Associates
Philadelphia, PA 19141-3018
Phone (215) 456-6786

5501 Old York Rd WCB 4TH FLR
Einstein CT Surgery Assoc
Philadelphia, PA 19141-3018
Phone (215) 456-8270

633 W Germantown Pike
203 Einstein Urology Associates
Plymouth Meeting, PA 19462-1032
Phone (215) 456-4600

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056031PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan, Inc. CurrentSince Nov 1, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Einstein Practice Plan Inc CurrentSince Nov 1, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

9880 Bustleton Ave
Ste 120
Philadelphia, PA 19115
Phone (215) 456-3815

1200 W Tabor Rd
Fl 4
Philadelphia, PA 19141
Phone (215) 456-3815

5401 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-6990

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

633 W Germantown Pike
Ste 105
Plymouth Mtng, PA 19462
Phone (610) 941-6799

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1023356169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "154-561-8252",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W TABOR RD FL 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413019",
            "telephone_number": "215-456-3815",
            "fax_number": "215-456-6803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_2": "Ground Floor Donner",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-6698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANG",
        "first_name": "KC BRYN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.