Brady James Kesterholt, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA065538P Issued in PA

Practice address

2315 Myrtle St Ste L90
Erie, PA 16502-4607

Phone

(814) 452-7575

NPI assigned

Jun 11, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkesterholt874371@direct.ahn.org

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.

• Allegheny Clinic

  dba AHN-Primary Care Bethel Park

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment Care Compare group
• Allegheny Clinic

  dba AHN Primary Care Mobile Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Allegheny Clinic

  dba AGH Neurosurgery

  • Neurological Surgery Physician
  • Pittsburgh, PA
  • NPI 1275533515
  NPD
• Allegheny Clinic

  dba AGH Cardiology

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
  • NPI 1629078332
  NPD (past)
• Allegheny Clinic

  dba AHN Neurology

  • Neurology Physician
  • Pittsburgh, PA
  • NPI 1821098260
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  Care Compare affiliation

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1609618578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L90",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024607",
            "telephone_number": "814-452-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L90",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024607",
            "telephone_number": "814-452-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTERHOLT",
        "first_name": "BRADY",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA065538P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16238066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda L Kerner, HIS
• Stephanie Ann Kerner, MS-SLP-CCC
• Nathan Stuart Kerr, APRN
• Sakthi Tiruchirapalli Kesavan, DDS
• Kessler Counseling Services, LLC
• Eric Tyler Ketchel
• Keystone Rehabilitation Systems, Inc. (NovaCare Rehabilitation)
• Keystone Rehabilitation Systems, Inc. (NovaCare Rehabilitation)
• Keystone Rehabilitation Systems, Inc. (NovaCare Rehabilitation)
• Abdullah Khaja

• Surgical Physician Assistant in Erie, PA
• Providers in Erie, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.