Bradley A Levinson, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

MD031375E Issued in PA

Practice address

105 Brandt Dr
Suite 202
Cranberry TWP, PA 16066-6437

Phone

(724) 741-6020

Fax

(724) 741-6022

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1043219363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRANDT DR",
            "address_2": "SUITE 202",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666437",
            "telephone_number": "724-741-6020",
            "fax_number": "724-741-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRANDT DR",
            "address_2": "SUITE 202",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666437",
            "telephone_number": "724-741-6020",
            "fax_number": "724-741-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD031375E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1252156",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE SHIELD",
            "identifier": "003918",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "80547",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Langston
• Chad Garrett Larkin, CRNP, FNP-BC
• Kaitlyn Leasure
• Eric Lehman
• Erica Lenzner, CRNP
• Wuyang Li, DMD, PHD
• David Michael Lippert, DC
• Jacqueline Rose Loeffler
• Bernard Thomas Logan, DMD
• Logos Care Solutions PA, LLC

• Colon & Rectal Surgery Physician in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Colon & Rectal Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.

Verify at the official NPI Registry.