Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Lee Crider, PA-C

Individual provider Medical Physician Assistant · NPI 1750032595

Brandon Lee Crider, PA-C is a Medical Physician Assistant in Jersey Shore, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1020 Thompson St
Jersey Shore, PA 17740-1729
Phone: (570) 398-0100
Fax: (570) 398-4412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA063279 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA063279 (PA)

Record details

NPI number1750032595
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2022
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

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