Individual
CASEY BROOKS BAKAYZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
311 W 24TH ST STE 101, ERIE, PA 16502-2668
(814) 452-4214
(814) 459-7823
Mailing address
2 ALLEGHENY CTR STE 530, PITTSBURGH, PA 15212-5404
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA067667
PA
363A00000X
Physician Assistant
Primary
MA067667
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16809228
CAQH
—
Enumeration date
03/30/2026
Last updated
06/11/2026
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