Individual provider Active NPI

Courtney Brady, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1972145191
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061198 Issued in PA
Practice address
810 Clairton Blvd Ste 400
Pittsburgh, PA 15236-5511
Phone
(412) 650-1170
Fax
(412) 650-1171
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061198 PA Primary
Medical Physician Assistant 363AM0700X MA061198 PA

Addresses

Primary practice location

810 Clairton Blvd Ste 400
Pittsburgh, PA 15236-5511

Mailing address

810 Clairton Blvd Ste 400
Pittsburgh, PA 15236-5511
Phone (412) 650-1170

Other identifiers 1

IdentifierTypeStateIssuer
103725390MedicaidPA

Other names 1

  • Courtney Carroll Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccarroll261059@direct.ahn.org

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
I20200129001833 PA Practitioner - Physician Assistant 0941636625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1900 Waterdam Plaza Dr
FL 2
Canonsburg, PA 15317-5442
Phone (724) 941-7490

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061198PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Medical CurrentSince Dec 2, 2024 Accepting new patients
Allegheny Clinic CurrentSince Dec 2, 2024 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1200 Brooks Ln
Ste 290
Jefferson Hls, PA 15025
Phone (412) 469-7010

1900 Waterdam Plaza Dr
Ste 2
McMurray, PA 15317
Phone (724) 260-7531

810 Clairton Blvd
Ste 400
Pleasant Hls, PA 15236
Phone (412) 650-1150

Interoperability endpoints

  • Direct secure messaging: ccarroll261059@direct.ahn.org

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1972145191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 400",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365511",
            "telephone_number": "412-650-1170",
            "fax_number": "412-650-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 400",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365511",
            "telephone_number": "412-650-1170",
            "fax_number": "412-650-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061198",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103725390",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccarroll261059@direct.ahn.org",
            "affiliation": "N",
            "address_1": "810 Clairton Blvd Ste 400",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152365511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CARROLL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.