Active NPIIndividual provider

Brendan Ryan, PA-C

Physician Assistant in Raynham, Massachusetts

NPI Number1396152187
Practice location
675 Paramount Dr, 203, Raynham, MA 02767-5416
Fax
508-880-0032
Last updated
June 24, 2019

Brendan Ryan is a Physician Assistant based in Raynham, MA. Brendan Ryan practices in Raynham, MA and has the professional credentials of PA-C. The NPI Number for Brendan Ryan is 1396152187 and holds a License No. PA5045 (MA). The current practice location address for Brendan Ryan is 675 Paramount Dr, 203, Raynham, MA 02767-5416 and can be reached out via phone at 508-880-0012 and via fax at 508-880-0032.

Provider Profile Details

NPI Number
1396152187
Provider Name
Brendan Ryan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
675 Paramount Dr, 203, Raynham, MA 02767-5416
Phone Number
508-880-0012
Fax Number
508-880-0032
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2014
Last Update Date
June 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
675 Paramount Dr
203
Raynham, MA 02767-5416
Zip
02767-5416
Phone Number
508-880-0012
Fax Number
508-880-0032
Raynham, MA 02767Get directions →

Provider Business Mailing Address Details

Address
675 Paramount Dr
203
Raynham, MA 02767-5416
City
Raynham
State
MA
Zip
02767-5416
Phone Number
508-880-0012
Fax Number
508-880-0032

License Information

License Number
PA5045
License State
MA
Taxonomy
Physician Assistant · 363A00000X · 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 Brendan Ryan, PA-C?

The NPI number of Brendan Ryan, PA-C is 1396152187. It was assigned on July 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Brendan Ryan, PA-C?

Brendan Ryan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA5045.

Where does Brendan Ryan, PA-C practice?

The practice location is 675 Paramount Dr, 203, Raynham, MA 02767-5416. The office can be reached at 508-880-0012 (phone) or 508-880-0032 (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 1396152187 directly on the NPPES registry website.

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