Individual provider Active NPI

Bradley Pennington, PA-C

  • Physician Assistant
  • Jefferson Hills, PA
National Provider Identifier
1801337589
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065811 Issued in PA
Practice address
1200 Brooks LN Ste G20
Jefferson Hills, PA 15025-3752
Phone
(412) 267-5040
Fax
(412) 384-3505
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085006149 IL
Physician Assistant 363A00000X MA065811 PA Primary

Addresses

Primary practice location

1200 Brooks LN Ste G20
Jefferson Hills, PA 15025-3752

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-4461

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
I20241017002697 PA Practitioner - Physician Assistant 7911272687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
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)

2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone (412) 655-6500

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Sep 23, 2024 Accepting new patients
Allegheny Clinic CurrentSince Sep 23, 2024 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

495 E Waterfront Dr
Ste 200
Homestead, PA 15120
Phone (412) 326-0330

1200 Brooks Ln
Ste G20
Jefferson Hls, PA 15025
Phone (412) 267-5040

3001 Cool Springs Dr
Pittsburgh, PA 15234
Phone (412) 267-5040

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777

59 Fort Couch Rd
Pittsburgh, PA 15241
Phone (412) 688-7580

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

Interoperability endpoints

  • Direct secure messaging: bpennington961878@direct.ahn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1801337589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125255",
            "telephone_number": "412-330-4461",
            "fax_number": "412-330-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE G20",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253752",
            "telephone_number": "412-267-5040",
            "fax_number": "412-384-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "BRADLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006149",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.