Active NPI
Brian Czervionke, MD
- Pediatrics Physician
- Cranberry Township, PA
National Provider Identifier
1538435854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD454545
- Practice address
- 100 Century Blvd Ste 5
Cranberry Township, PA 16066-1420 - Phone
- (724) 776-4433
- Fax
- (724) 776-4475
- NPI assigned
- Mar 30, 2012
- Last updated
- Aug 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD454545 | PA | Primary |
Addresses
Primary practice location
100 Century Blvd Ste 5
Cranberry Township, PA 16066-1420
Mailing address
100 Century Blvd Ste 5
Cranberry Township, PA 16066-1420
Phone (724) 776-4433
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brian.l.czervionke@upmcdirect.com | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD454545 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Community Care | Pediatrics | Current | Accepting new patients |
Locations
100 Century Blvd
Ste 5
Cranberry Twp, PA 16066
Phone (724) 776-4433
Organizations & group practices 1
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.
-
dba Children's Community Pediatrics
- Pediatrics Physician
- Cranberry Township, PA
- NPI 1184801870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1538435854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CENTURY BLVD STE 5",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160661420",
"telephone_number": "724-776-4433",
"fax_number": "724-776-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTURY BLVD STE 5",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "160661420",
"telephone_number": "724-776-4433",
"fax_number": "724-776-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZERVIONKE",
"first_name": "BRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-30",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD454545",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brian.l.czervionke@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cranberry Township, PA
- Cranberry Hearing and Balance Center, LLC
- Cranberry Place
- Haley Cron
- William Francis Curran, DC
- Ralph Adam Currie, O.D.
- Judith Lynn Dalessandro
- Damascus Counseling Services LLC
- Katherine Elizabeth Davin, M.ED., BCBA, LBS
- Jessica Marie Dayton
- DCP of Pennsylvania (Cranberry), Inc. (DentalWorks of Cranberry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.