MEDICARE: BROOKE BARNHART 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	363A00000X	Physician Assistant	MA061469	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366968158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE BARNHART PA-C

Provider Business Mailing Address
First Line	:	213 EXECUTIVE DR STE 200
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6405
Country	:	US
Telephone Number	:	724-771-4974
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 EXECUTIVE DR STE 200
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6405
Country	:	US
Telephone Number	:	724-741-0044
Fax Number	:

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

Provider Enumeration Date	:	08/14/2017
Last Update Date	:	08/10/2021

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Directions to “ BROOKE BARNHART PA-C” Practice Location

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