BRIAN K KEPHART PHYSICIAN ASSISTANT NPI 1093709099

NPI Information

  • NPI: 1093709099
  • Provider Name: BRIAN K KEPHART, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 250 CETRONIA ROAD
    SUITE 303
    ALLENTOWN, PA
    ZIP 18104
  • Phone: (610) 973-6200

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NPI Details

Brian K Kephart, PHYSICIAN ASSISTANT is a physician assistant in Allentown, PA with 24 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Brian K Kephart, PHYSICIAN ASSISTANT NPI is 1093709099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

250 CETRONIA ROAD
SUITE 303
ALLENTOWN, PA
ZIP 18104-168
Phone: (610) 973-6200
Fax: (610) 973-6546

The NPI 1093709099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 9/6/2005 and was last updated on 7/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalMA051154PENNSYLVANIANo
2363AS0400XPhysician AssistantSurgicalMA051154PENNSYLVANIANo
3363A00000XPhysician AssistantMA051154PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150035046OTHERPENNSYLVANIABLUE CROSS
2066094MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
3970030742OTHERPENNSYLVANIARAILROAD MEDICARE
4P78468MEDICARE UPINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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