Healthcare Provider Details

I. General information

NPI: 1134631245
Provider Name (Legal Business Name): BRIAN CASEY PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2017
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

3250 CRAFT PLACE
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-6664
  • Fax: 412-641-3640
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA059281
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: