Lisa A. Braden, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0110840316 Issued in VA

Practice address

595 Martha Jefferson Dr Ste 180
Charlottesville, VA 22911-4669

Phone

(434) 654-5575

Fax

(434) 654-5574

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
• Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: lbraden245990@direct.sentara.net

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.

• Martha Jefferson Medical Group LLC

  • Family Medicine Physician
  • Charlottesville, VA
  • NPI 1275720559
  Medicare reassignment Care Compare group
• David S Witmer MD PC

  • Orthopaedic Surgery Physician
  • Charlottesville, VA
  • NPI 1780720052
  NPD (past)
• Martha Jefferson Hospital

  • Endoscopy Clinic/Center
  • Charlottesville, VA
  • NPI 1942189022
  NPD (past)
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

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

• Martha Jefferson Hospital

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1346248663
  Care Compare affiliation
• Uva Culpeper Medical Center

  • General Acute Care Hospital
  • Culpeper, VA
  • NPI 1669538047
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1881621829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79777",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790777",
            "telephone_number": "434-654-7794",
            "fax_number": "434-654-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MARTHA JEFFERSON DR STE 180",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114669",
            "telephone_number": "434-654-5575",
            "fax_number": "434-654-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110840316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelee Boyle, M.D.
• Robert J. Boyle, M.D.
• Ryan P Boyles, PA-C
• Brad Spano DDS, P.C.
• Karen L Braden, PNP
• Perry Bradford, M.D.
• Evan Derek Bradner, MD
• Frances Bradshaw, BCABA
• Carolyn A. Brady, N.P.
• Helena Margaret Brady

• Surgical Physician Assistant in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.