Individual provider Active NPI

Brooke Barnhart, PA-C

  • Physician Assistant
  • Cranberry Township, PA
National Provider Identifier
1366968158
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061469 Issued in PA
Practice address
213 Executive Dr Ste 200
Cranberry Township, PA 16066-6405
Phone
(724) 741-0044
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 MA061469 PA Primary

Addresses

Primary practice location

213 Executive Dr Ste 200
Cranberry Township, PA 16066-6405

Mailing address

213 Executive Dr Ste 200
Cranberry Township, PA 16066-6405
Phone (724) 771-4974

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
I20200521000184 PA Practitioner - Physician Assistant 2163798414 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061469PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince May 18, 2020 Accepting new patients

Locations

213 Executive Dr
Ste 200
Cranberry Twp, PA 16066
Phone (724) 741-0044

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1366968158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 EXECUTIVE DR STE 200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666405",
            "telephone_number": "724-771-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 EXECUTIVE DR STE 200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666405",
            "telephone_number": "724-741-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNHART",
        "first_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

Verify at the official NPI Registry.