BRADY JAMES KESTERHOLT PA-C
NPI 1609618578
Physician Assistant - Surgical in Erie, PA

Active since June 11, 2024PECOS EnrolledAccepts Medicare Assignment
2315 MYRTLE ST STE L90, ERIE, PA 16502(814) 452-7575 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2024, Jun 11, 2024 (2 updates tracked since 2024).

About Brady James Kesterholt Pa-c NPPES

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

BRADY JAMES KESTERHOLT PA-C (NPI 1609618578) is an individual surgical provider in Erie, Pennsylvania, licensed in Pennsylvania (MA065538P) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609618578
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRADY JAMES KESTERHOLTCredential: PA-C
Location Address2315 MYRTLE ST STE L90Erie, PA 16502-4607
Mailing Address2315 Myrtle St Ste L90Erie, PA 16502-4607 · (814) 452-7575
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 11, 2024
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1609618578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in PA · MA065538P
2315 MYRTLE ST STE L90, Erie, PA 16502

Other Identifiers 1

Other16238066Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brady James Kesterholt Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012452428
PECOS Enrollment IDI20240710001555
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

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.

Nurse Practitioner (Family)
2315 MYRTLE ST STE L90
ERIE, PA 16502
Psychiatry & Neurology (Neurology)
2315 MYRTLE ST STE L90
ERIE, PA 16502
Neurological Surgery
2315 MYRTLE ST STE L90
ERIE, PA 16502
Neurological Surgery
2315 MYRTLE ST STE L90
ERIE, PA 16502
Physician Assistant (Surgical)
2315 MYRTLE ST STE L90
ERIE, PA 16502
Psychiatry & Neurology (Neurology)
2315 MYRTLE ST STE L90
ERIE, PA 16502
Physician Assistant
2315 MYRTLE ST STE L90
ERIE, PA 16502
Physician Assistant (Medical)
2315 MYRTLE ST STE L90
ERIE, PA 16502

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 Brady Kesterholt's NPI number?

The NPI number for Brady Kesterholt is 1609618578. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Brady Kesterholt located?

Brady Kesterholt practices at 2315 Myrtle St Ste L90, Erie, PA 16502. The listed phone number is (814) 452-7575.

What is Brady Kesterholt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brady Kesterholt enrolled in Medicare?

Yes. Brady Kesterholt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brady Kesterholt affiliated with any hospitals?

According to CMS data, Brady Kesterholt is affiliated with Saint Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Brady Kesterholt was last updated on June 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.