Active NPIIndividual providerSole proprietor

Brian Pervis, APRN

Nurse Practitioner, Family in Woodbridge, Connecticut

NPI Number1174939839
Practice location
1 Bradley RD Ste 505, Woodbridge, CT 06525-2292
Fax
203-446-5599
Last updated
February 12, 2022

Brian Pervis is a Nurse Practitioner, Family based in Woodbridge, CT. Brian Pervis practices in Woodbridge, CT and has the professional credentials of APRN. The NPI Number for Brian Pervis is 1174939839 and holds a License No. 5745 (CT). The current practice location address for Brian Pervis is 1 Bradley RD Ste 505, Woodbridge, CT 06525-2292 and can be reached out via phone at 203-693-1164 and via fax at 203-446-5599.

Provider Profile Details

NPI Number
1174939839
Provider Name
Brian Pervis
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1 Bradley RD Ste 505, Woodbridge, CT 06525-2292
Phone Number
203-693-1164
Fax Number
203-446-5599
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
July 2, 2014
Last Update Date
February 12, 2022
Certification Date
February 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bradley RD Ste 505
Woodbridge, CT 06525-2292
Zip
06525-2292
Phone Number
203-693-1164
Fax Number
203-446-5599
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
304 S Jones Blvd # 1060
Las Vegas, NV 89107-2623
City
Las Vegas
State
NV
Zip
89107-2623
Phone Number
203-693-1164
Fax Number
888-475-7210

License Information

License Number
5745
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brian Pervis, APRN?

The NPI number of Brian Pervis, APRN is 1174939839. It was assigned on July 2, 2014 and is currently active in the NPPES registry.

What is the specialty of Brian Pervis, APRN?

Brian Pervis, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 5745.

Where does Brian Pervis, APRN practice?

The practice location is 1 Bradley RD Ste 505, Woodbridge, CT 06525-2292. The office can be reached at 203-693-1164 (phone) or 203-446-5599 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174939839 directly on the NPPES registry website.

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