Individual provider Active NPI

Brayden Brosky, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeville, PA
National Provider Identifier
1205672607
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP031204 Issued in PA
Practice address
300 Old Pond Rd Ste 201
Bridgeville, PA 15017-1270
Phone
(412) 220-7323
NPI assigned
Jul 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN678285 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031204 PA Primary

Addresses

Primary practice location

300 Old Pond Rd Ste 201
Bridgeville, PA 15017-1270

Mailing address

300 Old Pond Rd Ste 201
Bridgeville, PA 15017-1270

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
I20250311001042 PA Practitioner - Nurse Practitioner 4082135769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ravi Kant, MD PCGroup PAC ID 7517003163, 5 clinicians

Practice addresses (Care Compare)

300 Old Pond Rd
Suite 201
Bridgeville, PA 15017-1270
Phone (412) 220-7323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN678285PAMDRegistered Nurse
SP031204PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Kant, MD PC CurrentSince Jan 1, 2025 Accepting new patients
Ravi Kant, MD PC PastSince Jul 7, 2024 Accepting new patients

Locations

300 Old Pond Rd
Ste 201
Bridgeville, PA 15017
Phone (412) 220-7323

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.

NPI Registry JSON

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1205672607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD POND RD STE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD POND RD STE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171270",
            "telephone_number": "412-220-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSKY",
        "first_name": "BRAYDEN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN678285",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.