MEDICARE: GOODWILL INDUSTRIES OF PITTSBURGH

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	251B00000X	Case Management Agency	414940	PA
2	251C00000X	Developmentally Disabled Services Day Training Agency	414940	PA

General Provider Information

NPI Number	:	1487796173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODWILL INDUSTRIES OF PITTSBURGH

Provider Business Mailing Address
First Line	:	2600 E CARSON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-2102
Country	:	US
Telephone Number	:	412-481-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 E CARSON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-2102
Country	:	US
Telephone Number	:	412-481-9005
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT FOR HUMAN SERVICES
Name	:	MR. BRADLEY R BURGER
Credential	:	M.ED
Telephone Number	:	412-390-2219

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	09/11/2025

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Directions to “GOODWILL INDUSTRIES OF PITTSBURGH ” Practice Location

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