Individual provider Active NPI

James David Bresnahan, PA-C

  • Physician Assistant
  • Blairsville, PA
National Provider Identifier
1376598813
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010950 Issued in VA
Practice address
56 Club LN
Blairsville, PA 15717-7957
Phone
(724) 537-4321
Fax
(724) 539-2449
NPI assigned
May 23, 2006
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0110010950 VA Primary

Addresses

Primary practice location

56 Club LN
Blairsville, PA 15717-7957

Mailing address

520 Jefferson Ave
Suite 400
Jeannette, PA 15644-2538
Phone (724) 527-8060

Other identifiers 1

IdentifierTypeStateIssuer
486326MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061211000061 PA Practitioner - Physician Assistant 9032121017 Reassigns benefits to 4 organizations
I20230301001896 NY Practitioner - Physician Assistant 9032121017 Reassigns benefits to 1 organization
I20250917000772 VA Practitioner - Physician Assistant 9032121017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Corporate Blvd
Lafayette, LA 70508-3844

2042 Old Ramsey Rd
Monroeville, PA 15146-4914

PO Box
Suite 21435
Roanoke, VA 24018

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Nov 1, 2024 Accepting new patients
Upmc Bedford Memorial CurrentSince Nov 1, 2024 Accepting new patients
Upmc Altoona CurrentSince Nov 1, 2024 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince May 1, 2023 Accepting new patients
Upmc Bedford Memorial CurrentSince Nov 1, 2024 Accepting new patients
Ohio Valley Anesthesia Pain Management Inc Past Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients
Emergency Medicine Physicians of Alle-Kiski, LTD Past Accepting new patients
Emergency Medicine Physicians of Davidson County, PLLC Past Accepting new patients
Emergency Medicine Physicians of Allegheny County LTD Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

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

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

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1376598813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLUB LN",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177957",
            "telephone_number": "724-537-4321",
            "fax_number": "724-539-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESNAHAN",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486326",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

Verify at the official NPI Registry.