Individual provider Active NPI

Brian Breon Powell

  • Peer Specialist
  • Pittsburgh, PA
National Provider Identifier
1356982060
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
11505 Issued in PA
Practice address
718 Wood St
Pittsburgh, PA 15221-2842
Phone
(412) 243-3400
NPI assigned
Oct 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 11505 PA Primary

Addresses

Primary practice location

718 Wood St
Pittsburgh, PA 15221-2842

Mailing address

712 South Ave
Pittsburgh, PA 15221-2940
Phone (412) 243-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11505PAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Centers Inc. CurrentSince Oct 6, 2019 Accepting new patients

Locations

712 South Ave
Wilkinsburg, PA 15221
Phone (412) 243-3400

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/milestonepa/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1356982060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SOUTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212940",
            "telephone_number": "412-243-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 WOOD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212842",
            "telephone_number": "412-243-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "BRIAN BREON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "PA",
            "license": "11505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.