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

Individual provider Physician Assistant · NPI 1407672652

Kerryn Noelle Macbride, PA is a Physician Assistant in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2024, 2 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

132 S 10th St
Philadelphia, PA 19107-5244
Phone: (215) 955-6351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA066160 (PA)

Record details

NPI number1407672652
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2024 (2 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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