Individual provider Active NPI

Brad J Conner, DO

  • Orthopaedic Surgery Physician
  • Chambersburg, PA
National Provider Identifier
1225357668
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS018267 Issued in PA
Practice address
120 N 7TH St Ste 101
Chambersburg, PA 17201-1795
Phone
(717) 263-1220
Fax
(717) 263-6255
NPI assigned
May 25, 2010
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101018654 MI
Orthopaedic Surgery Physician 207X00000X OS018267 PA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 03879 KY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 34.011686 OH

Addresses

Primary practice location

120 N 7TH St Ste 101
Chambersburg, PA 17201-1795

Mailing address

785 5TH Ave
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 263-1220

Other practice location 2

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 263-1220

Other practice location 3

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 263-1220

Other identifiers 3

IdentifierTypeStateIssuer
5101018654OtherMIDEPARTMENT OF COMMUNITY HEALTH
103132679MedicaidPA
5315045086OtherMIDEPARTMENT OF COMMUNITY HEALTH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822002163 PA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2769702729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7164

120 N 7TH St
Chambersburg, PA 17201-1795

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

601 E Main St
Waynesboro, PA 17268-2332

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6944

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03879KYMDSports Medicine (Orthopaedic Surgery) Physician
34.011686OHMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

120 N 7th St
Chambersburg, PA 17201
Phone (717) 217-6882

120 N 7th St
Ste 101
Chambersburg, PA 17201
Phone (717) 749-4801

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: bconner227788@wellspan.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1225357668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE",
            "address_2": "SUITE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-217-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 7TH ST STE 101",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011795",
            "telephone_number": "717-263-1220",
            "fax_number": "717-263-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-263-1220",
            "fax_number": "717-263-6255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-263-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-263-1220",
            "fax_number": "717-263-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "BRAD",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101018654",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS018267",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KY",
            "license": "03879",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "34.011686",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "5101018654",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103132679",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "5315045086",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.