Active NPI
Pefha Health & Wellness Center
- Family Medicine Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-72372L
- Legal business name
- PEFHA HEALTH & WELLNESS CENTER
- Practice address
- 10 Duff Rd Ste 103
Pittsburgh, PA 15235-3261 - Phone
- (412) 241-4104
- Fax
- (412) 241-9567
- NPI assigned
- Jan 19, 2007
- Last updated
- Nov 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yvette Broadnax, MD
- Title
- President
- Phone
- (412) 241-4104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-72372L | PA | Primary |
Addresses
Primary practice location
10 Duff Rd Ste 103
Pittsburgh, PA 15235-3261
Mailing address
10 Duff Rd Ste 103
Pittsburgh, PA 15235-3261
Phone (412) 241-4104
Other practice location 1
8989 Frankstown Rd
Pittsburgh, PA 15235-1429
Phone (412) 241-4104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10 Duff Rd
Ste 103
Pittsburgh, PA 15235
Phone (412) 241-0606
8989 Frankstown Rd
Pittsburgh, PA 15235
Phone (412) 241-4104
Practitioners & affiliated clinicians
Practitioners 85
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1578616637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DUFF RD STE 103",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152353261",
"telephone_number": "412-241-4104",
"fax_number": "412-241-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DUFF RD STE 103",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152353261",
"telephone_number": "412-241-4104",
"fax_number": "412-241-9567"
}
],
"practiceLocations": [
{
"address_1": "8989 Frankstown Rd",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152351429",
"country_code": "US",
"telephone_number": "412-241-4104",
"fax_number": "412-241-9567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEFHA HEALTH & WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "BROADNAX",
"authorized_official_first_name": "YVETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-241-4104",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "MD-72372L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.