Individual provider Active NPI

Jason H Brajer, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bryn Mawr, PA
National Provider Identifier
1609856723
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD025443E Issued in PA
Practice address
601 Cornerstone LN
Bryn Mawr, PA 19010-2073
Phone
(610) 527-8820
Fax
(610) 672-9722
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X MD025443E PA
Interventional Pain Medicine Physician 208VP0014X MD025443E PA
Interventional Pain Medicine Physician 208VP0014X C10008831 DE
Pain Medicine (Anesthesiology) Physician 207LP2900X MD025443E PA Primary
Anesthesiology Physician 207L00000X MD025443E PA
Pain Medicine Physician 208VP0000X C10008831 DE

Addresses

Primary practice location

601 Cornerstone LN
Bryn Mawr, PA 19010-2073

Mailing address

601 Cornerstone Lane
Bryn Mawr, PA 19010-2073
Phone (610) 527-8820

Other identifiers 12

IdentifierTypeStateIssuer
4516241OtherPAAETNA PPO
0056892000OtherPAIBC - PC, KHPE
143062OtherPAHIGHMARK BLUE SHIELD
1009178OtherPAKEYSTONE MERCY
1609856723MedicaidDE
00104922-0015MedicaidPA
050034053OtherPARR MEDICARE
2559705OtherPAAETNA HMO
MD025443EOtherPAHEALTH PARTNERS
112418OtherPAPHCS
8068421OtherPACIGNA HMO/PPO
0056892000OtherPAAMERIHEALTH/INTERCOUNTY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080407000453 PA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 7214913656 Reassigns benefits to 2 organizations
I20090122000083 DE Practitioner - Pain ManagementPractitioner - Anesthesiology 7214913656 Reassigns benefits to 1 organization
I20170425001519 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 7214913656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Hahnemann University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discover Optimal HealthcareGroup PAC ID 9739334343, 4 clinicians
JB Pain Free MD PLLCGroup PAC ID 9234494584, 3 clinicians

Practice addresses (Care Compare)

3605 Edgmont Ave
Brookhaven, PA 19015-2862
Phone (610) 876-6180

718 S Main St
Red Lion, PA 17356-2605
Phone (717) 244-8504

Merit-based Incentive Payment System (MIPS)

Final score
58.84 of 100Reported as group
Quality
0
Improvement activities
40
Cost
79.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD025443EPAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Optimal Healthcare CurrentSince May 15, 2020 Accepting new patients
Grossinger Neuropain Specialists, PA CurrentSince Nov 1, 2008 Accepting new patients
Wound Healing Solutions LLC CurrentSince Apr 1, 2017 Accepting new patients
Sheridan Healthcare of West Virginia Inc Anesthesiology PastSince May 21, 2023 Accepting new patients

Locations

1201 Philadelphia Pike
Ste C
Wilmington, DE 19809
Phone (302) 636-0920

600 Clements Bridge Rd
Barrington, NJ 08007
Phone (609) 268-5517

1235 Upper Front St
#208
Binghamton, NY 13905

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

60 Broad St
New York, NY 10004
Phone (212) 785-0797

3605 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-6180

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1609856723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CORNERSTONE LANE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102073",
            "telephone_number": "610-527-8820",
            "fax_number": "610-672-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CORNERSTONE LN",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102073",
            "telephone_number": "610-527-8820",
            "fax_number": "610-672-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAJER",
        "first_name": "JASON",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD025443E",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD025443E",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "DE",
            "license": "C10008831",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD025443E",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD025443E",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "DE",
            "license": "C10008831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4516241",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC - PC, KHPE",
            "identifier": "0056892000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "143062",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1009178",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609856723",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00104922-0015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050034053",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2559705",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "MD025443E",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "112418",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO/PPO",
            "identifier": "8068421",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/INTERCOUNTY",
            "identifier": "0056892000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.