Bradley Mackey, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP014432 Issued in PA

Practice address

11279 Perry Hwy
Suite 450
Wexford, PA 15090-9381

Phone

(724) 933-1100

Fax

(724) 933-1160

NPI assigned

Sep 14, 2015

Last updated

Sep 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fayette Physician Network Inc

  • Surgery Physician
  • Uniontown, PA
  • NPI 1992107817
  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Friendsville, MD
  • NPI 1437823044
  NPD
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Uniontown, PA
  • NPI 1013319292
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1518335058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MILLERS RUN RD",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171348",
            "telephone_number": "412-692-3145",
            "fax_number": "412-692-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11279 PERRY HWY",
            "address_2": "SUITE 450",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909381",
            "telephone_number": "724-933-1100",
            "fax_number": "724-933-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "BRADLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP014432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. Randy Dalbow,M.D.,P.C.
• Kyle Macaulay, D.O.
• Lauren Macblane
• Lauryn Grace Macfawn, CRNA
• David B Macisaac, DO
• Kaitlynn Mackey, OTR/L
• Maddigan Chiropractic, LLC
• Patrick S Maddigan, D.C.
• Madison Weimer LLC
• Frank Madonna, MD

• Nurse Practitioner in Wexford, PA
• Providers in Wexford, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.