Bradley Lorah
Individual provider Active NPI Surgical Physician Assistant · Dickson City, PA
NPI 1477573418 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1477573418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- MA003220L (PA)
- Practice address
- 334 Main St
Ste 1
Dickson City, PA 18519-1620 - Phone
- (570) 307-1767
- Fax
- (570) 307-1770
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lehigh Valley Physician Group
Practice addresses (Care Compare)
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
2100 Mack Blvd
FL 4
Allentown, PA 18103-5622
334 Main St
Dickson City, PA 18519-1668
Phone (570) 307-1767
5649 Wynnewood Dr
Laurys Station, PA 18059-1124
700 E Broad St
LVPG Emergency Medicine
Hazleton, PA 18201-6835
Phone (570) 501-4193
Hospital & facility affiliations
- Lehigh Valley Hospital - Dickson City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111208000331 | PA | Practitioner - Physician Assistant | 0143495879 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
2775 Schoenersville Rd
Bethlehem, PA 18017
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
3371 Route 100
Macungie, PA 18062
Phone (610) 336-8277
237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000
320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240
334 Main St
Scranton, PA 18519
Phone (570) 307-1767
334 Main St
Ste 1
Scranton, PA 18519
Phone (570) 307-1767
241 Claremont Ave
Tamaqua, PA 18252
Phone (570) 225-7211
Interoperability endpoints
- blorah422227@direct2.lvhn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA003220L | PA | Yes |
Addresses
Primary practice location
334 Main St
Ste 1
Dickson City, PA 18519-1620
Mailing address
1605 N Cedar Crest Blvd Ste 411
Allentown, PA 18104-2323
Phone (484) 629-2282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA003220L | Other | PA | STATE LICENSE |
Other providers in Dickson City, PA
- Lehigh Valley Physician Group
- R. Sean Lenahan
- Megan Melissa Locker
- Mark Vincent Lombardi
- Mary Blair Long
- Kristin M. Luongo
- Luxottica of America Inc
- LVHN Scranton Orthopedic Specialists
- LVHN Scranton Orthopedic Specialists
- Marisa M Maghran
All providers in Dickson City, PA · Surgical Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.