Individual provider Active NPI

Braden Gladysz

  • Physician Assistant
  • Hermitage, PA
National Provider Identifier
1104307719
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA004513 Issued in PA
Practice address
1599 N Hermitage Rd
Greenville Medical Center
Hermitage, PA 16148-3180
Phone
(724) 962-9622
NPI assigned
Aug 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 OA004513 PA Primary

Addresses

Primary practice location

1599 N Hermitage Rd
Greenville Medical Center
Hermitage, PA 16148-3180

Mailing address

13 Shady Ave
Greenville Medical Center
Greenville, PA 16125-1822

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address braden.gladysz@upmcdirect.com UPMC

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
I20181023000605 PA Practitioner - Physician Assistant 1658624531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

1211 Wilmington Ave
New Castle, PA 16105-2516
Phone (724) 656-6161

2 Hot Meal St
Pittsburgh, PA 15203-2348

2004 W State St
New Castle, PA 16101-1248

2008 W State St
Union Primary Care Upmc
New Castle, PA 16101-1248
Phone (724) 658-3712

2200 Memorial Dr
Farrell, PA 16121-1357
Phone (724) 983-8854

449 N Hermitage Rd
Hermitage, PA 16148-3342

875 N Hermitage Rd
Hermitage, PA 16148-3278

90 Shenango St
Greenville, PA 16125-2060
Phone (724) 720-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA004513PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Aug 29, 2018 Accepting new patients
Upmc Community Medicine Inc CurrentSince Aug 29, 2018 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

90 Shenango St
Greenville, PA 16125
Phone (724) 588-4240

449 N Hermitage Rd
#B
Hermitage, PA 16148
Phone (724) 347-6660

1599 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 962-7920

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2004 W State St
New Castle, PA 16101
Phone (724) 657-3224

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

100 Innovation Dr
Ste 104
Slippery Rock, PA 16057
Phone (724) 285-5351

Organizations & group practices 4

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1104307719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SHADY AVE",
            "address_2": "GREENVILLE MEDICAL CENTER",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 N HERMITAGE RD",
            "address_2": "GREENVILLE MEDICAL CENTER",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483180",
            "telephone_number": "724-962-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADYSZ",
        "first_name": "BRADEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "braden.gladysz@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 Hermitage, PA

Sources for this page

Verify at the official NPI Registry.