Individual provider Active NPI

Chad A Brickley, PA-C

  • Physician Assistant
  • Harrisburg, PA
National Provider Identifier
1508806589
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA001868L Issued in PA
Practice address
205 S Front St
Brady Building - 4TH
Harrisburg, PA 17104-1619
Phone
(717) 231-8555
Fax
(717) 231-8568
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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 MA001868L PA Primary

Addresses

Primary practice location

205 S Front St
Brady Building - 4TH
Harrisburg, PA 17104-1619

Mailing address

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 763-2100

Other identifiers 4

IdentifierTypeStateIssuer
970024781OtherPARR MEDICARE PTAN
CA5965OtherPARAILROAD MEDICARE
232809429008OtherPATRICARE
50073444OtherCAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, MD3 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
I20050120000795 PA Practitioner - Physician Assistant 0042269698 Reassigns benefits to 7 organizations
I20250217002762 VA Practitioner - Physician Assistant 0042269698 Reassigns benefits to 2 organizations
I20250225000666 MD Practitioner - Physician Assistant 0042269698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians Group 1,606 clinicians

Practice addresses (Care Compare)

500 Universidy Dr
Hershey, PA 17033-2360

875 Poplar Church Rd
Suite 400
Camp Hill, PA 17011-2203
Phone (717) 724-6450

Hospital & facility affiliations

  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA001868LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. CurrentSince Dec 17, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Winchester Medical Center CurrentSince Dec 17, 2024 Accepting new patients
Wellspan Medical Group CurrentSince May 5, 2017 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Wellspan Medical Group CurrentSince May 5, 2017 Accepting new patients
The Milton S Hershey Medical Center - Physicians Group CurrentSince Jun 24, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Dec 17, 2024 Accepting new patients
Winchester Medical Center Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 3, 2011 Accepting new patients
University of Penn-Medical Group CurrentSince Apr 1, 2024 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jun 24, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 3, 2011 Accepting new patients
Winchester Medical Center CurrentSince Dec 17, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Sep 12, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Sep 12, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Apr 1, 2024 Accepting new patients
Evangelical Medical Services Organization Past Accepting new patients
Evangelical Medical Services Organization Past Accepting new patients
Evangelical Medical Services Organization Past Accepting new patients
Valley Physician Enterprise, Inc Past Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

205 S Front St
Bldg 4TH
Harrisburg, PA 17104
Phone (717) 231-8555

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

2005 Technology Pkwy
Ste 300
Mechanicsburg, PA 17050
Phone (717) 782-4785

1995 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2600

412 W Market St
Middleburg, PA 17842
Phone (570) 837-6163

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1880 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

220 Campus Blvd
Ste 320
Winchester, VA 22601

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1508806589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N 21ST ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112204",
            "telephone_number": "717-763-2100",
            "fax_number": "717-975-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S FRONT ST",
            "address_2": "BRADY BUILDING - 4TH",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041619",
            "telephone_number": "717-231-8555",
            "fax_number": "717-231-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLEY",
        "first_name": "CHAD",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001868L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "970024781",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA5965",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "232809429008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50073444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.