MEDICARE: JANELLE H BRADY-PORTER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	C05615	MD
2	363A00000X	Physician Assistant	MA062766	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	12565703	OTHER	CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184067993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE H BRADY-PORTER PA-C

Provider Business Mailing Address
First Line	:	500 BLAZIER DR STE 200
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9508
Country	:	US
Telephone Number	:	412-359-8900
Fax Number	:	412-359-8977

Provider Business Practice Location Address
First Line	:	500 BLAZIER DR STE 200
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9508
Country	:	US
Telephone Number	:	412-359-8900
Fax Number	:	412-359-8977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2013
Last Update Date	:	03/27/2025

Similar Medicare Providers

1285477539 — NELLIE ANN KAPCIN PA-C
Practice Location Address:

500 BLAZIER DR STE 200
WEXFORD, PA
15090-9508

Practice Phone: 412-359-8900
Practice Fax: 412-359-8977

1114360591 — JENNIFER MAIOLO BECK PA-C
Practice Location Address:

500 BLAZIER DR STE 100
WEXFORD, PA
15090-9508

Practice Phone: 724-934-2550
Practice Fax: 724-935-5558

1558895011 — RUCHA P JIYANI MD
Practice Location Address:

500 BLAZIER DR
WEXFORD, PA
15090-9508

Practice Phone: 412-359-8900
Practice Fax: 412-359-8977

1548795263 — DR. MARISSA BARASH PSY.D.
Practice Location Address:

500 BLAZIER DR STE 400
WEXFORD, PA
15090-9508

Practice Phone: 724-934-2420
Practice Fax: 724-934-2422

1295252757 — JESSICA NICOLE FRANK
Practice Location Address:

500 BLAZIER DR STE 400
WEXFORD, PA
15090-9508

Practice Phone: 724-934-2420
Practice Fax:

1316416357 — ISABELLE TATE CUTLER
Practice Location Address:

500 BLAZIER DR STE 400
WEXFORD, PA
15090-9508

Practice Phone: 247-934-2420
Practice Fax:

Directions to “ JANELLE H BRADY-PORTER PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.