Provider Demographics
NPI:1992777650
Name:BRAYER, PAUL
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:BRAYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, SUITE 001
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:928 ROUTE 910
Practice Address - Street 2:VALLEY FAMILY MEDICINE-UPMC, EMMERLING PLAZA
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-9441
Practice Address - Country:US
Practice Address - Phone:412-767-4751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027182E207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001511900Medicaid
PA637425PD9Medicare PIN
PAB82463Medicare UPIN