Individual provider Active NPI

Brittany Eve Meyer, PA

  • Medical Physician Assistant
  • Coal Township, PA
National Provider Identifier
1730424755
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055898 Issued in PA
Practice address
4203 Hospital Rd
Coal Township, PA 17866-9668
Phone
(570) 648-4010
NPI assigned
Dec 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 MA055898 PA Primary

Addresses

Primary practice location

4203 Hospital Rd
Coal Township, PA 17866-9668

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 648-4010

Other practice location 1

1665 Valley Center Pkwy
Ste 130
Bethlehem, PA 18017-2346
Phone (610) 317-0208

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bforman150730@direct.geisinger.edu Direct

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
I20121226000062 PA Practitioner - Physician Assistant 7012160013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-4903

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Nov 19, 2012 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 19, 2012 Accepting new patients
Geisinger Clinic Past Accepting new patients
Lehigh Valley Physician Group Physician Assistant Past Accepting new patients

Locations

1665 Valley Center Pkwy
Ste 130
Bethlehem, PA 18017
Phone (610) 317-0208

Interoperability endpoints

  • Direct secure messaging: bforman150730@direct.geisinger.edu

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": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1730424755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-648-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 HOSPITAL RD",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669668",
            "telephone_number": "570-648-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Valley Center Pkwy",
            "address_2": "Ste 130",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180172346",
            "country_code": "US",
            "telephone_number": "610-317-0208",
            "fax_number": "610-317-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "BRITTANY",
        "middle_name": "EVE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bforman150730@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4203 Hospital Rd",
            "city": "Coal Township",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178669668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coal Township, PA

Sources for this page

Verify at the official NPI Registry.