Organization Active NPI

The Bradley Center Inc PCP

  • Pediatrics Physician
  • Pittsburgh, PA
National Provider Identifier
1588198261
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE BRADLEY CENTER INC PCP
Practice address
5180 Campbells Run Rd
Pittsburgh, PA 15205-9731
Phone
(412) 788-8219
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Ms. Lisa Rene Fox
Title
Chief Executive Office
Phone
(412) 788-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5180 Campbells Run Rd
Pittsburgh, PA 15205-9731

Mailing address

5180 Campbells Run Rd
Pittsburgh, PA 15205-9731
Phone (412) 788-8219

National Provider Directory

National Provider Directory
Tax ID family
The Bradley Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1588198261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 CAMPBELLS RUN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152059731",
            "telephone_number": "412-788-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 CAMPBELLS RUN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152059731",
            "telephone_number": "412-788-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRADLEY CENTER INC PCP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "412-788-8219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Apr 19, 2017; 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.