Individual provider Active NPI

Alyssa Nicole Bradley, PA-C

  • Physician Assistant
  • Altoona, PA
National Provider Identifier
1962132746
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063752 Issued in PA
Practice address
501 Howard Ave Ste E3
Altoona, PA 16601-4817
Phone
(814) 889-3930
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063752 PA Primary

Addresses

Primary practice location

501 Howard Ave Ste E3
Altoona, PA 16601-4817

Mailing address

501 Howard Ave Ste E3
Altoona, PA 16601-4817
Phone (814) 889-3930

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
I20220905000024 PA Practitioner - Physician Assistant 2567846884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2024 Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

501 Howard Ave
Ste E3
Altoona, PA 16601
Phone (814) 889-3930

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

3471 5th Ave
Ste 810
Pittsburgh, PA 15213
Phone (412) 692-4607

Interoperability endpoints

  • Direct secure messaging: alyssa.n.bradley@upmcdirect.com
  • Direct secure messaging: abradley44318@upmc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1962132746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE E3",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014817",
            "telephone_number": "814-889-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE E3",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014817",
            "telephone_number": "814-889-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.