Brentwood Medical Group

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA056618 Issued in PA

Legal business name

BRENTWOOD MEDICAL GROUP

Practice address

3720 Brownsville Rd
Pittsburgh, PA 15227-3520

Phone

(412) 882-9455

Fax

(412) 884-6149

NPI assigned

Jan 8, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Lucchetti

Title

Administrator

Phone

(412) 882-9455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1528480720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 BROWNSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273520",
            "telephone_number": "412-882-9455",
            "fax_number": "412-884-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 BROWNSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273520",
            "telephone_number": "412-882-9455",
            "fax_number": "412-884-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "LUCCHETTI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "412-882-9455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca J. Brent, PSYD
• Brentwood Borough School District
• Brentwood Carrick Optical Center,Inc
• Brentwood Emergency Medical Services
• Brentwood Medical Associates
• Brentwood Medical Group, Inc.
• Maura Elizabeth Brereton
• Desiree N Brescio
• Haley Ann Breski
• Robert William Bresler, DO

• Medical Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.