Bradley Thomas Dewitt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

024437 Issued in NY

Practice address

1780 Hanshaw Rd
Ithaca, NY 14850-9105

Phone

(315) 283-3608

NPI assigned

Sep 25, 2019

Sex

Male

Sole proprietor

No

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.

• Schuyler Hospital Inc

  • Critical Access Hospital
  • Montour Falls, NY
  • NPI 1639150477

  NY

  Medicare reassignment Care Compare group NPD
• Schuyler Hospital Inc

  • Internal Medicine Physician
  • Montour Falls, NY
  • NPI 1760582142

  NY

  Medicare reassignment Care Compare group NPD
• Cayuga Medical Associates, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1679525455

  NY

  Medicare reassignment Care Compare group
• Guthrie Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Corning, NY
  • NPI 1134178635

  NY

  Medicare reassignment NPD
• Schuyler Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Montour Falls, NY
  • NPI 1740364181
  Care Compare group NPD
• Schuyler Hospital Inc

  • Rural Health Clinic/Center
  • Montour Falls, NY
  • NPI 1417580697
  Care Compare group
• Schuyler Hospital Inc

  • Skilled Nursing Facility
  • Montour Falls, NY
  • NPI 1871574848
  Care Compare group
• Schuyler Hospital Inc

  • Rural Health Clinic/Center
  • Ovid, NY
  • NPI 1902430689
  Care Compare group
• Guthrie Medical Group, P.C.

  • General Practice Physician
  • Sayre, PA
  • NPI 1245246644
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733

  Hospital

  Care Compare affiliation
• Schuyler Hospital Inc

  • Critical Access Hospital
  • Montour Falls, NY
  • NPI 1639150477

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cayuga Medical Associates PC 278 clinicians

Schuyler Hospital Inc 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
• Schuyler Hospital Hospital, Montour Falls, NY, CCN 331313

Medicare fee-for-service enrollment

Enrolled in NY

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bdewitt27542@direct.xtensys.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2021.

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1346891900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 HANSHAW RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509105",
            "telephone_number": "315-283-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "BRADLEY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdewitt147439@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1780 Hanshaw Rd",
            "city": "Ithaca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148509105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ravi Desai, BS PHARMACY
• Allison Desario
• Audrey H Desilva, MD
• Srisatish Devapatla, M.D., FAAP
• Chris Devenpeck, DDS
• Diane J Reppert Chiropractor PLLC
• Debra Jean Dibartolo, FNP
• Laura Susan Dibble, M.D.
• Jessica Lynn Dibona, PHARMD
• Julie Ann Dickens, RN

• All providers in Ithaca, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.