Active NPI
Upmc Advanced Practice Providers
- Nurse Practitioner
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- UPMC ADVANCED PRACTICE PROVIDERS
- Practice address
- 200 Lothrop St
Forbes Tower, Suite 10055-B
Pittsburgh, PA 15213-2536 - Phone
- (412) 864-0594
- Fax
- (412) 647-3222
- NPI assigned
- Jul 25, 2014
- Organization subpart
- Yes
- Parent organization
- UPMC COMMUNITY PROVIDER SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah S Brodine
- Title
- President
- Phone
- (412) 647-0548
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
200 Lothrop St
Forbes Tower, Suite 10055-B
Pittsburgh, PA 15213-2536
Mailing address
200 Lothrop St
Forbes Tower, Suite 10055-B
Pittsburgh, PA 15213-2536
Phone (412) 864-0594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141103001512 | PA | Part B Supplier - Clinic/Group Practice | 4082836283 |
Receives reassigned benefits from 72 practitioners 1 other NPI on this enrollment Practice locations: Pittsburgh, PA; Sewickley, PA; Trafford, PA; Verona, PA; Wexford, PA; White Oak, PA; Delmont, PA; Allison Park, PA… |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Social Worker
- Pittsburgh, PA
- NPI 1720608805
O20141103001512
National Provider Directory
National Provider Directory- Tax ID family
- Upmc Advanced Practice Providers
- Part of
- Upmc Community Provider Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Pittsburgh, PA
- NPI 1720608805
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1515 Locust St
Ste 600
Pittsburgh, PA 15219
9104 Babcock Blvd
Ste 6000
Pittsburgh, PA 15237
Phone (412) 358-9613
4415 5th Ave
Ste 160
Pittsburgh, PA 15213
4415 5th Ave
Pittsburgh, PA 15213
300 Halket St
Ste 800
Pittsburgh, PA 15213
Phone (412) 641-1194
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pharmacy
- Pittsburgh, PA
- NPI 1851506711
Practitioners & affiliated clinicians
Practitioners 130
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446940800000",
"number": "1457769176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LOTHROP ST",
"address_2": "FORBES TOWER, SUITE 10055-B",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132536",
"telephone_number": "412-864-0594",
"fax_number": "412-647-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LOTHROP ST",
"address_2": "FORBES TOWER, SUITE 10055-B",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132536",
"telephone_number": "412-864-0594",
"fax_number": "412-647-3222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPMC ADVANCED PRACTICE PROVIDERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UPMC COMMUNITY PROVIDER SERVICES",
"enumeration_date": "2014-07-25",
"last_updated": "2015-11-08",
"status": "A",
"authorized_official_last_name": "BRODINE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-647-0548"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.