Individual provider Active NPI

Brianna M Clark, PA-C

  • Surgical Physician Assistant
  • Canonsburg, PA
National Provider Identifier
1518700764
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA065551 Issued in PA
Practice address
138 Gallery Dr
Canonsburg, PA 15317-2690
Phone
(724) 260-7300
NPI assigned
Jun 17, 2024
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA065551 PA Primary

Addresses

Primary practice location

138 Gallery Dr
Canonsburg, PA 15317-2690

Mailing address

138 Gallery Dr
Canonsburg, PA 15317-2690
Phone (724) 260-7300

Other identifiers 1

IdentifierTypeStateIssuer
16916047OtherCAQH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240726001602 PA Practitioner - Physician Assistant 6709322621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Aug 26, 2024 Accepting new patients
University of Pittsburgh Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 26, 2024 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

9100 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 367-5589

Interoperability endpoints

  • Direct secure messaging: bclark429445@upmc.direct-ci.com
  • Direct secure messaging: brianna.m.clark@upmcdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1518700764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 GALLERY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-260-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 GALLERY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-260-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRIANNA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA065551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16916047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.