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NPI Code Detail

MEDICARE: CASEY BROOKS BAKAYZA PA

MEDICARE: CASEY BROOKS BAKAYZA PA
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
1363A00000XPhysician AssistantMA067667PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116809228OTHERCAQH

General Provider Information

NPI Number : 1588504484
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY BROOKS BAKAYZA PA
Provider Business Mailing Address
First Line : 2 ALLEGHENY CTR STE 530
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-5404
Country : US
Telephone Number :
Fax Number : 412-330-5844
Provider Business Practice Location Address
First Line : 311 W 24TH ST STE 101
Second Line :
City : ERIE
State : PA
Zip : 16502-2668
Country : US
Telephone Number : 814-452-4214
Fax Number : 814-459-7823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 06/11/2026

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Directions to “ CASEY BROOKS BAKAYZA PA” Practice Location

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