Individual provider Active NPI

Elliot Morton Michel, M.D.

  • Neurology Physician
  • Brackenridge, PA
National Provider Identifier
1902807845
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD019970E Issued in PA
Practice address
985 Penn St Ste B
Brackenridge, PA 15014-1160
Phone
(724) 226-9960
Fax
(724) 226-9961
NPI assigned
Aug 2, 2005
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD019970E PA Primary

Addresses

Primary practice location

985 Penn St Ste B
Brackenridge, PA 15014-1160

Mailing address

985 Penn St Ste B
Brackenridge, PA 15014-1160
Phone (724) 226-9960

Other practice location 1

2602 Wilmington Rd Ste 103
New Castle, PA 16105-1539
Phone (724) 698-7915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emichel@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD019970EPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Kozminski DO PLLC Neurology CurrentSince Sep 27, 2020 Accepting new patients

Locations

985 Penn St
Brackenridge, PA 15014
Phone (724) 226-9960

985 Penn St
Ste B
Brackenridge, PA 15014
Phone (724) 224-4446

215 E 1st Ave
Tarentum, PA 15084
Phone (724) 226-9960

Interoperability endpoints

  • Direct secure messaging: emichel@direct.practicefusion.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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1902807845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PENN ST STE B",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141160",
            "telephone_number": "724-226-9960",
            "fax_number": "724-226-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PENN ST STE B",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141160",
            "telephone_number": "724-226-9960",
            "fax_number": "724-226-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Wilmington Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161051539",
            "country_code": "US",
            "telephone_number": "724-698-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "ELLIOT",
        "middle_name": "MORTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD019970E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emichel@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "985 Penn St Ste B",
            "city": "Brackenridge",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150141160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brackenridge, PA

Sources for this page

Verify at the official NPI Registry.