Active NPI
Brandon Doverspike, D.O.
- Family Medicine Physician
- Clarion, PA
National Provider Identifier
1962811497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OT015723
- Practice address
- 24 Doctors LN
Suite 202
Clarion, PA 16214-8568 - Phone
- (814) 226-2500
- Fax
- (814) 226-2501
- NPI assigned
- Aug 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT015723 | PA | Primary |
Addresses
Primary practice location
24 Doctors LN
Suite 202
Clarion, PA 16214-8568
Mailing address
210 Hamilton St
New Bethlehem, PA 16242-1226
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170726000475 | PA | Practitioner - Family Practice | 9830469717 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Butler Medical ProvidersPhoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
1 Hospital Dr
Clarion, PA 16214-8501
Phone (724) 285-0823
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
24 Doctors LN
Clarion, PA 16214-8574
330 N Point Dr
Clarion, PA 16214-3873
82 Town Run Rd
Fairmount City, PA 16224-1502
Phone (814) 275-1600
Hospital & facility affiliations
- Penn Highlands Community Nurses
- Clarion Forest Vna Inc
- Independence Health System Clarion Hospital
- Penn Highlands Brookville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT015723 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Medical Providers | Current | Accepting new patients | |
| Clarion Hospital | Past | Accepting new patients | |
| Butler Medical Providers | Past | Accepting new patients |
Locations
127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550
Interoperability endpoints
- brandon.doverspike@direct-address.net
- doverspike_brandon@yourcarecommunity.org
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
- Chiropractor
- State College, PA
- NPI 1245588946
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1720084155
-
- Anatomic Pathology & Clinical Pathology Physician
- Butler, PA
- NPI 1447283031
-
- General Acute Care Hospital
- Clarion, PA
- NPI 1265422901
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Clarion, PA
- NPI 1790758928
-
- Home Health Agency
- St Marys, PA
- NPI 1598725210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1962811497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 HAMILTON ST",
"city": "NEW BETHLEHEM",
"state": "PA",
"postal_code": "162421226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 DOCTORS LN",
"address_2": "SUITE 202",
"city": "CLARION",
"state": "PA",
"postal_code": "162148568",
"telephone_number": "814-226-2500",
"fax_number": "814-226-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVERSPIKE",
"first_name": "BRANDON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT015723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.