Individual provider Active NPI

Laura A Braslow, P.A.

  • Medical Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1649468828
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001630L Issued in PA
Practice address
2101 Emrick Blvd
Suite 100
Bethlehem, PA 18020
Phone
(610) 868-4000
Fax
(610) 868-4033
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA001630L PA Primary

Addresses

Primary practice location

2101 Emrick Blvd
Suite 100
Bethlehem, PA 18020

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071029000362 PA Practitioner - Physician Assistant 8921195686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

101 W 7TH St
Pennsburg, PA 18073-1512

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1431 Nursery St
Fogelsville, PA 18051-1612

14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone (610) 944-8800

1791 Airport Rd
Allentown, PA 18109-9528
Phone (484) 240-8195

200 Schuylkill Medical PLZ
Pottsville, PA 17901-3660
Phone (570) 621-9270

320 W Pumping Station Rd
Quakertown, PA 18951-2345

320 W Pumping Station Road
3 LVPG Family Medicine Richland Township
Quakertown, PA 18951-2345
Phone (215) 529-4240

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

6451 Village LN
Macungie, PA 18062-8484
Phone (610) 967-2772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Feb 15, 2016 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 15, 2016 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Broad Mountain Emergency Physicians, PLLC Past Accepting new patients
Regents of the University of California - Ucsd Medical Group Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Gorge Inpatient Services, PLLC Past Accepting new patients

Locations

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

2101 Emrick Blvd
Ste 100
Bethlehem, PA 18020
Phone (610) 868-4000

333 Normal Ave
Ste 201
Kutztown, PA 19530
Phone (610) 683-8363

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

Interoperability endpoints

  • Direct secure messaging: lbraslow133298@direct2.lvhn.org

Organizations & group practices 10

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1649468828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 EMRICK BLVD",
            "address_2": "SUITE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18020",
            "telephone_number": "610-868-4000",
            "fax_number": "610-868-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASLOW",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001630L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.