Mr Bradley P Herold, PA-C - Medicare Physician Assistant in Derby, CT

Mr Bradley P Herold, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Derby, Connecticut. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St Joseph Mercy Hospital, Saint Joseph Mercy Livingston Hospital and his current practice location is 130 Division St, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 735-7421.

Mr Bradley P Herold is licensed to practice in Connecticut (license number 3050) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457658791.

Contact Information

Mr Bradley P Herold, PA-C
130 Division St,
Derby, CT 06418-1326
(203) 735-7421
Not Available



Provider's Profile

Full NameMr Bradley P Herold
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location130 Division St, Derby, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Bradley P Herold graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1457658791
  • Provider Enumeration Date: 02/23/2011
  • Last Update Date: 10/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5890973218
  • Enrollment ID: I20220309001092

Medical Identifiers

Medical identifiers for Mr Bradley P Herold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457658791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 3050 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Mercy Livingston HospitalHowell, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Joseph Mercy Hospital377948928159
Saint Joseph Mercy Livingston Hospital862896452518

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bradley P Herold is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Bradley P Herold, PA-C
67 Maple Ave,
Derby, CT 06418-1328

Ph: (203) 732-1330
Mr Bradley P Herold, PA-C
130 Division St,
Derby, CT 06418-1326

Ph: (203) 735-7421

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Physician Assistant Nurses in Derby, CT

Ryan Edward Weiss, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Nikolett Kocsis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 78 Pershing Dr, Derby, CT 06418
Phone: 035-165-3072    
Alexis Cardinali, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Astrid B Garza Posadas, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 435 New Haven Ave Ste 2, Derby, CT 06418
Phone: 203-734-1990    
William Henry Ruml, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    
Mr. Scott B Callahan, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Kaylan C Mcdowell-smith, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-1330    Fax: 203-732-1332

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