Individual provider Active NPI

Charles Brophy

  • Emergency Medicine Physician
  • Lyndora, PA
National Provider Identifier
1245429869
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2788 Issued in WV
Practice address
300 Hansen PLZ
Lyndora, PA 16045-1610
Phone
(724) 256-9424
NPI assigned
Oct 19, 2007
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2788 WV Primary

Addresses

Primary practice location

300 Hansen PLZ
Lyndora, PA 16045-1610

Mailing address

300 Hansen PLZ
Lyndora, PA 16045-1610

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071106000096 PA Practitioner - Emergency MedicinePractitioner - Addiction Medicine 5395832505 Reassigns benefits to 8 organizations
I20131217000034 WV Practitioner - Emergency Medicine 5395832505 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2788WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Upmc Altoona CurrentSince Jul 1, 2019 Accepting new patients
Ahn Emergency Group of Clarion County LTD Emergency Medicine CurrentSince Mar 24, 2025 Accepting new patients
Windber Hospital, Inc CurrentSince Oct 1, 2021 Accepting new patients
Dubois Regional Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Upmc Altoona CurrentSince Jul 1, 2019 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Apr 15, 2014 Accepting new patients
Western Pennsylvania Pathology, P.C. Current Accepting new patients
Windber Hospital, Inc. Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Ahn Emergency Group of Indiana County, LTD Emergency Medicine CurrentSince Mar 24, 2025 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Sharon Emergency Group PC Emergency Medicine Past Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

Interoperability endpoints

  • Direct secure messaging: upmchospitals@upmcdirect.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1245429869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HANSEN PLZ",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HANSEN PLZ",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451610",
            "telephone_number": "724-256-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPHY",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@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 Lyndora, PA

Sources for this page

Verify at the official NPI Registry.