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BRADFORD REGIONAL MEDICAL CENTER
NPI 1063784726
Psychiatry & Neurology - Psychiatry in Bradford, PA

Active since January 27, 2012CLIA 39D0691618 · Accreditation
116 INTERSTATE PKWY, BRADFORD, PA 16701(814) 368-4143 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2023, Sep 16, 2020, May 2, 2018 (3 updates tracked since 2018).

About Bradford Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADFORD REGIONAL MEDICAL CENTER (NPI 1063784726) is a healthcare organization registered as a psychiatry in Bradford, Pennsylvania and active in the NPI registry since January 2012. The organization holds an CLIA Accreditation certificate valid through November 30, 2027 and lists Jill M. Owens, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063784726
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameOLEAN GENERAL HOSPITAL
Location Address116 INTERSTATE PKWYBradford, PA 16701-1036
Mailing Address116 Interstate PkwyBradford, PA 16701-1036 · (814) 368-4143
Phone(814) 368-4143
Organization SubpartNo
Authorized OfficialJill M. OwensCeo · (716) 373-2600
Enumeration DateJanuary 27, 2012
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1063784726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · 541201
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License 541201 (PA)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 541201 (PA)
116 INTERSTATE PKWY, Bradford, PA 16701
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Other Names 1

Other NameBradford Regional Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 39D0691618

Bradford Regional Medical Center · Bradford, PA
Active · expires Nov 30, 2027
CLIA Number39D0691618
Laboratory TypeHospital
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Richard Scott
Laboratory Phone(814) 262-8247
Laboratory LocationBradford Regional Medical Center116 Interstate Parkway, Bradford, PA 16701
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN ELENCHIN
Nurse Anesthetist, Certified Registered
116 INTERSTATE PKWY
BRADFORD, PA 16701
McKean County (814) 362-8674
MRS. JULIE LYNN GALBRAITH MPT
Physical Therapist
116 INTERSTATE PKWY
BRADFORD, PA 16701
McKean County (814) 362-8264
OLEAN GENERAL HOSPITAL
Family Medicine
116 INTERSTATE PKWY
BRADFORD, PA 16701
McKean County (814) 368-4143
OLEAN GENERAL HOSPITAL
Pediatrics
116 INTERSTATE PKWY, SUITE 42
BRADFORD, PA 16701
McKean County (814) 362-8390
CYNTHIA SIMMS RN, CDE
Registered Nurse (Diabetes Educator)
116 INTERSTATE PKWY
BRADFORD, PA 16701
McKean County (814) 368-8717
NATHANIEL LARS GRAHAM M.D.
Surgery
116 INTERSTATE PKWY, SUITE 31
BRADFORD, PA 16701
McKean County (814) 368-7125
REBECCA MILLER MD
Pediatrics
116 INTERSTATE PKWY, FOURTH FLOOR
BRADFORD, PA 16701
McKean County (814) 362-8390
OLEAN GENERAL HOSPITAL
Nurse Anesthetist, Certified Registered
116 INTERSTATE PKWY
BRADFORD, PA 16701
McKean County (814) 368-4143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olean General Hospital's NPI number?

The NPI number for Olean General Hospital is 1063784726. It was assigned to this organization in the NPPES registry on January 27, 2012. The provider is also known as Bradford Regional Medical Center.

Where is Olean General Hospital located?

Olean General Hospital is located at 116 Interstate Pkwy, Bradford, PA 16701. The listed phone number is (814) 368-4143.

What is Olean General Hospital's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Olean General Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 39D0691618) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Olean General Hospital was last updated on October 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.