Anna R Brode, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA055805 Issued in PA

Practice address

50 Moisey Dr Ste 210
Hazle Township, PA 18202-9297

Phone

(570) 501-6380

Fax

(570) 501-6389

NPI assigned

Oct 5, 2012

Last updated

Jun 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Anna Regina Domday Former name

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Lehigh Valley Physician Group

  dba LVPG Developmental Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689
  Medicare reassignment Care Compare group
• Hazleton Professional Services

  dba Lehigh Valley Physician Group-Hazleton

  • Internal Medicine Physician
  • Hazleton, PA
  • NPI 1952464638
  Medicare reassignment NPD
• Cornerstone Coordinated Health Care, LLC

  • Rural Health Clinic/Center
  • Frackville, PA
  • NPI 1811269186
  Medicare reassignment
• Schuylkill Health System Medical Group, Inc.

  dba Lehigh Valley Physician Group-Schuylkill

  • Internal Medicine Physician
  • Pottsville, PA
  • NPI 1588603567
  Medicare reassignment
• The Carbon-Schuylkill Community Hospital, Inc.

  dba St. Luke's Miners Memorial Hospital ER

  • Emergency Medicine Physician
  • Coaldale, PA
  • NPI 1194891010
  Medicare reassignment
• Carbon - Schuylkill Community Hospital Inc

  dba St. Luke's Care Now - Mahanoy City

  • Urgent Care Clinic/Center
  • Mahanoy City, PA
  • NPI 1053910232
  NPD
• Lehigh Valley Physician Group

  dba LVPG Internal Medicine-West Broad

  • Internal Medicine Physician
  • Bethlehem, PA
  • NPI 1235537028
  NPD
• Lehigh Valley Physician Group

  dba LVPG Family and Internal Medicine - East Stroudsburg

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Schuylkill Health System Medical Group, Inc.

  dba LVPG ExpressCare Schuylkill

  • Emergency Medicine Physician
  • Pottsville, PA
  • NPI 1063073823
  NPD
• The Carbon Schuylkill Community Hospital, Inc.

  dba St. Luke's Care Now - Hazelton

  • Urgent Care Clinic/Center
  • Hazle Township, PA
  • NPI 1710655394
  NPD
• St. Luke's Hospital

  dba St. Luke's Physician Assistants

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1982798088
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1972855674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOISEY DR STE 210",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182029297",
            "telephone_number": "570-501-6380",
            "fax_number": "570-501-6389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 W Frack St",
            "address_purpose": "LOCATION",
            "city": "Frackville",
            "state": "PA",
            "postal_code": "179311719",
            "country_code": "US",
            "telephone_number": "570-794-6123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODE",
        "first_name": "ANNA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007737",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103218100-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "DOMDAY",
            "middle_name": "REGINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Medical Physician Assistant in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.

Verify at the official NPI Registry.