Individual provider Active NPI

Joyce M Brun, MPAS, PA-C

  • Physician Assistant
  • Latrobe, PA
National Provider Identifier
1780080200
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003415 Issued in PA
Practice address
1007 Court Yard PLZ
Latrobe, PA 15650-1838
Phone
(724) 539-8517
Fax
(724) 879-8024
NPI assigned
Nov 11, 2014
Last updated
Jan 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA003415 PA Primary

Addresses

Primary practice location

1007 Court Yard PLZ
Latrobe, PA 15650-1838

Mailing address

1007 Court Yard PLZ
Latrobe, PA 15650-1838
Phone (724) 539-8517

Other names 1

  • Miss Joyce M Carson Former name

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
I20180420001610 PA Practitioner - Physician Assistant 3173836822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermeve PCGroup PAC ID 0042751562, 6 clinicians

Practice addresses (Care Compare)

607 Washington Rd
Lower Level
Pittsburgh, PA 15228-1903
Phone (412) 563-0217

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jmbrun@directaddress.net
  • Direct secure messaging: joycebrunpa@mtlda.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1780080200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 COURT YARD PLZ",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501838",
            "telephone_number": "724-539-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 COURT YARD PLZ",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501838",
            "telephone_number": "724-539-8517",
            "fax_number": "724-879-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUN",
        "first_name": "JOYCE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "CARSON",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "MPAS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.