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

Joseph Michael Bracalento

Individual provider Surgical Physician Assistant · NPI 1053714402

Joseph Michael Bracalento is a Physician Assistant in Seneca, South Carolina. Qualified in 2014, 12 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and South Carolina.

Years since qualifying
12
Licensed in
CT, SC
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

100 Omni Dr
Seneca, SC 29672-9448
Phone: (864) 886-9250
Fax: (864) 886-9251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2315 Myrtle St, Erie, PA 16502-4604 — (814) 453-7767

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4759 (SC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4773 (CT)

Record details

NPI number1053714402
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2014
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Seneca