Individual provider Active NPI

Ben Paul Brinkley, M.D.

  • Psychiatry Physician
  • Connellsville, PA
National Provider Identifier
1801958798
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD422315 Issued in PA
Practice address
416 S Pittsburgh St
Connellsville, PA 15425-4003
Phone
(724) 626-8420
Fax
(724) 628-0898
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD422315 PA Primary

Addresses

Primary practice location

416 S Pittsburgh St
Connellsville, PA 15425-4003

Mailing address

416 S Pittsburgh St
Connellsville, PA 15425-4003
Phone (724) 626-8420

Other identifiers 1

IdentifierTypeStateIssuer
1625028OtherPAHIGHMARK BCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071008000391 PA Practitioner - PsychiatryPractitioner - Addiction Medicine 2062507965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Baylor College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

416 S Pittsburgh St
Connellsville, PA 15425-4003
Phone 7246268420103

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connellsville Counseling & Psychological Services, LLC CurrentSince Jan 9, 2012 Accepting new patients

Locations

412 S Pittsburgh St
Connellsville, PA 15425
Phone (724) 626-8420

416 S Pittsburgh St
Connellsville, PA 15425
Phone (724) 626-8420

609 N Church St
Ste 4
Mt Pleasant, PA 15666
Phone (724) 542-4585

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1801958798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S PITTSBURGH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254003",
            "telephone_number": "724-626-8420",
            "fax_number": "724-628-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S PITTSBURGH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254003",
            "telephone_number": "724-626-8420",
            "fax_number": "724-628-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "BEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD422315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "1625028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.