Healthcare Provider Details

I. General information

NPI: 1275469850
Provider Name (Legal Business Name): BRENT POINTER CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CLIFFMINE RD STE 500
PITTSBURGH PA
15275-1053
US

IV. Provider business mailing address

1815 EMERALD DR
OREFIELD PA
18069-9120
US

V. Phone/Fax

Practice location:
  • Phone: 866-269-8038
  • Fax:
Mailing address:
  • Phone: 484-818-0480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP035715
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: