Individual provider Active NPI

Joseph J Brake, CRNA

  • Certified Registered Nurse Anesthetist
  • Reading, PA
National Provider Identifier
1578868550
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN510383L Issued in PA
Practice address
2500 Bernville Road
Reading, PA 19605-9453
Phone
(610) 378-2055
Fax
(610) 378-2058
NPI assigned
Jan 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN510383L PA Primary

Addresses

Primary practice location

2500 Bernville Road
Reading, PA 19605-9453

Mailing address

169 Martin Ave
PO Box 1002
Ephrata, PA 17522-1724

Other practice location 1

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 738-6618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110414000725 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345424354 Reassigns benefits to 5 organizations
I20231206003503 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345424354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Orthopedic Group, Inc.Group PAC ID 1557264678, 76 clinicians
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

231 Granite Run Dr
Lancaster, PA 17601-6823
Phone (717) 560-4200

420 S 5TH Ave
West Reading, PA 19611-2143
Phone (484) 628-8000

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN510383LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Current Accepting new patients
Lancaster Orthopedic Group, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Aug 1, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Ephrata Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2011 Accepting new patients
Ias Arizona PLLC CurrentSince Oct 28, 2023 Accepting new patients
Ephrata Community Hospital CurrentSince Feb 15, 2011 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients

Locations

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

707 Eagleview Blvd
Ste 100
Exton, PA 19341

810 Plaza Blvd
Ste 101
Lancaster, PA 17601
Phone (717) 431-2368

231 Granite Run Dr
Lancaster, PA 17601
Phone (717) 560-4200

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

1009 E Main St
Mount Joy, PA 17552
Phone (717) 544-3537

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1001 S George St
York, PA 17403
Phone (717) 812-7687

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1578868550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "address_2": "PO BOX 1002",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE ROAD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2055",
            "fax_number": "610-378-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221724",
            "country_code": "US",
            "telephone_number": "717-738-6618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAKE",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN510383L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.