Individual provider Active NPI

Bradley Lazzari

  • Orthopaedic Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1053930446
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MED-PHYS-LIC-174115 Issued in MT
Practice address
4300 Londonderry Road
Upmc Pinnacle Orthopaedic Surgery Residency
Harrisburg, PA 17109
Phone
(309) 258-5027
NPI assigned
Apr 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MED-PHYS-LIC-174115 MT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4300 Londonderry Road
Upmc Pinnacle Orthopaedic Surgery Residency
Harrisburg, PA 17109

Mailing address

4300 Londonderry Rd
Harrisburg, PA 17109-5317

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Harrisburg

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260511001712 PA Practitioner - Orthopedic Surgery 3577932094 Reassigns benefits to 1 organization
I20260616002898 MT Practitioner - Orthopedic Surgery 3577932094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

2 Celeste Dr
Johnstown, PA 15905-2832
Phone (814) 255-6781

Hospital & facility affiliations

  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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 5

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1053930446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONDONDERRY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONDONDERRY ROAD",
            "address_2": "UPMC PINNACLE ORTHOPAEDIC SURGERY RESIDENCY",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17109",
            "telephone_number": "309-258-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZARI",
        "first_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "MED-PHYS-LIC-174115",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Harrisburg",
            "affiliation": "N",
            "address_1": "4300 Londonderry Road",
            "address_2": "UPMC Pinnacle Orthopaedic Surgery Residency",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.