Brian Keith Reedy, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

053160 Issued in PA

Practice address

50 Commerce Dr
Wyomissing, PA 19610

Phone

(610) 320-0200

Fax

(610) 320-9962

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Plastic and Reconstructive Surgery

Education

Perelman School of Med at the University of Pennsylvania, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berks Plastic Surgery Institute PCGroup PAC ID 6305825902, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berks Plastic Surgery Institute PC

  • Plastic Surgery Physician
  • Wyomissing, PA
  • NPI 1679695589
  Medicare reassignment Care Compare group NPD
• Berks Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Wyomissing, PA
  • NPI 1134241946
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215080189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMERCE DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "610-320-0200",
            "fax_number": "610-320-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COMMERCE DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "610-320-0200",
            "fax_number": "610-320-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "053160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "RE261248",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL",
            "identifier": "01172201",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reading Professional Services (RPS Senior Assessment Program)
• Reading Surgical Associates P. C.
• Eileen Marie Rearden, M.A., CCC/SLP
• Recharge Your Life LLC
• Pratap Verreddigari Reddy, MD
• Dawn Nicole Reedy, MS, BSL
• Stephanie Ann Reesman, PMHNP-BC
• Ralph M. Reeves, M.D.
• Sarah Reeves, CRNA
• Janice Reichert, MSN,RN,CRNP

• Plastic Surgery Physician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.