Individual provider Active NPI

Brooke Kennedy, PA-C

  • Physician Assistant
  • Sellersville, PA
National Provider Identifier
1225850928
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
915 Lawn Ave Ste 203
Sellersville, PA 18960-1551
Phone
(215) 453-3400
NPI assigned
Oct 25, 2024
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 Primary

Addresses

Primary practice location

915 Lawn Ave Ste 203
Sellersville, PA 18960-1551

Mailing address

915 Lawn Ave Ste 203
Sellersville, PA 18960-1551

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (215) 453-4000

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
I20241219002813 PA Practitioner - Physician Assistant 9537696281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Grand View HospitalGroup PAC ID 8022001924, 94 clinicians

Practice addresses (Care Compare)

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

915 Lawn Ave
Suite 203
Sellersville, PA 18960-1551
Phone (215) 453-3400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital CurrentSince Dec 21, 2024 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 18, 2025 Accepting new patients
Grand View Hospital CurrentSince Dec 21, 2024 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 18, 2025 Accepting new patients
Grand View Hospital Past Accepting new patients

Locations

700 Horizon Dr
Ste 201
Chalfont, PA 18914
Phone (215) 453-2510

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

176 Main St
Harleysville, PA 19438
Phone (215) 256-9531

419 S Broad St
Unit 4
Lansdale, PA 19446
Phone (267) 429-2561

99 N West End Blvd
Quakertown, PA 18951
Phone (215) 257-1127

99 N West End Blvd
Ste 102
Quakertown, PA 18951
Phone (215) 538-0202

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

915 Lawn Ave
Ste 203
Sellersville, PA 18960
Phone (215) 257-3697

Interoperability endpoints

  • Direct secure messaging: bkennedy347842@direct-sluhn.org

Organizations & group practices 6

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 1

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": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1225850928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 LAWN AVE STE 203",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 LAWN AVE STE 203",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601551",
            "telephone_number": "215-453-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "215-453-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.