Active NPI
Sydney Kyle Brandtonies, PA-C
- Physician Assistant
- Beaver, PA
National Provider Identifier
1376946749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA057137
- Practice address
- 1000 Dutch Ridge Rd
Beaver, PA 15009-9727 - Phone
- (724) 225-3627
- NPI assigned
- Sep 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA057137 | PA | Primary |
| Physician Assistant | 363A00000X | OA003385 | PA |
Addresses
Primary practice location
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Mailing address
333 Deerfield Dr
Canonsburg, PA 15317-2385
Phone (724) 255-7293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170223001992 | TX | Practitioner - Physician Assistant | 3870715220 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA057137 | PA | MD | Physician Assistant |
| OA003385 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Health Centers | Past | Accepting new patients |
Interoperability endpoints
- sbrandtonies208297@directhoustonmethodist.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
TX
-
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1376946749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 DEERFIELD DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153172385",
"telephone_number": "724-255-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 DUTCH RIDGE RD",
"city": "BEAVER",
"state": "PA",
"postal_code": "150099727",
"telephone_number": "724-225-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDTONIES",
"first_name": "SYDNEY",
"middle_name": "KYLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-30",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057137",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA003385",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.