Individual provider Active NPI

Brandon Coury

  • Certified Registered Nurse Anesthetist
  • Pittsburgh, PA
National Provider Identifier
1083122477
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN643865 Issued in PA
Practice address
200 Lothrop St
Suite 200 Cwing
Pittsburgh, PA 15213-2536
Phone
(412) 647-3260
NPI assigned
Jan 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN643865 PA Primary

Addresses

Primary practice location

200 Lothrop St
Suite 200 Cwing
Pittsburgh, PA 15213-2536

Mailing address

965 Bideford Dr
Suite 200 Cwing
South Park, PA 15129-8971

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180416001760 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103189600 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

5230 Centre Ave
Pittsburgh, PA 15232-1304

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Mar 26, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Mon Vale Clinical Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 11, 2020 Accepting new patients
St Clair Anesthesiology Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 9, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 26, 2018 Accepting new patients
Mon Vale Clinical Professionals, Inc. CurrentSince May 11, 2020 Accepting new patients
Upmc Community Medicine Inc PastSince Jun 22, 2021 Accepting new patients

Locations

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

200 Lothrop St
Ste 200
Pittsburgh, PA 15213
Phone (412) 647-3260

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Organizations & group practices 7

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 6

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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1083122477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 BIDEFORD DR",
            "address_2": "SUITE 200 CWING",
            "city": "SOUTH PARK",
            "state": "PA",
            "postal_code": "151298971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "SUITE 200 CWING",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURY",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-19",
        "last_updated": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN643865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.