Individual provider Active NPI

Brian Lee Kern, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1376138974
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062019 Issued in PA
Practice address
320 E North Ave FL 4
Pittsburgh, PA 15212-4756
Phone
(412) 508-2842
Fax
(412) 322-2144
NPI assigned
Mar 4, 2021
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 MA062019 PA Primary

Addresses

Primary practice location

320 E North Ave FL 4
Pittsburgh, PA 15212-4756

Mailing address

110 Newkirk Dr
Glenshaw, PA 15116-1210
Phone (910) 286-6514

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
I20210728003533 PA Practitioner - Physician Assistant 0446653448 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Multi-Specialty CurrentSince Jun 28, 2021 Accepting new patients
Allegheny Clinic CurrentSince Jun 28, 2021 Accepting new patients
Integrated Pulmonary Physicians LTD Multi-Specialty Past Accepting new patients
Windber Hospital, Inc. Multi-Specialty Past Accepting new patients

Locations

2566 Haymaker Rd
Ste 306
Monroeville, PA 15146
Phone (412) 457-0100

320 E North Ave
Fl 4
Pittsburgh, PA 15212
Phone (412) 359-3319

490 E North Ave
Ste 305
Pittsburgh, PA 15212
Phone (412) 359-3030

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1376138974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NEWKIRK DR",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151161210",
            "telephone_number": "910-286-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE FL 4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-508-2842",
            "fax_number": "412-322-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.