Bryan Ronan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAMA051591 Issued in PA

Practice address

308 Student Health Center
University Park, PA 16802

Phone

(814) 863-6747

Fax

(814) 863-8464

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Clearfield Hospital

  • Emergency Medicine Physician
  • Clearfield, PA
  • NPI 1063456531
  NPD (past)
• Clearfield Hospital

  • General Acute Care Hospital
  • Clearfield, PA
  • NPI 1245402411
  NPD (past)
• University Ambulance Service

  • Land Ambulance
  • University Park, PA
  • NPI 1255457057
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1891876884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 STUDENT HEALTH CENTER",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "16802",
            "telephone_number": "814-863-6747",
            "fax_number": "814-863-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 STUDENT HEALTH CENTER",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "16802",
            "telephone_number": "814-863-6747",
            "fax_number": "814-863-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAN",
        "first_name": "BRYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "PAMA051591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PAMA051591",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Roberts
• Barbara Rockey, LPN
• Jessie Rogers, LPN
• Justin Rogers, ATC
• Ella Roland
• Monica Rosensteel, LPN
• Lia Kathleen Rosenstein, PHD
• Sierra Rougeux
• Aliza Chana Rudavsky, PT
• Christine Sailors, LPN

• Physician Assistant in University Park, PA
• Providers in University Park, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.