Brenden Gannon, PA-C
Physician Assistant in East Providence, Rhode Island
1427931401- Practice location
- 1 Kettle Point Ave, East Providence, RI 02914-5375
- Phone
- 401-457-1500
- Fax
- —
- Last updated
- March 9, 2026
Brenden Gannon is a Physician Assistant based in East Providence, RI. Brenden Gannon practices in East Providence, RI and has the professional credentials of PA-C. The NPI Number for Brenden Gannon is 1427931401 and holds a License No. PA01802 (RI). The current practice location address for Brenden Gannon is 1 Kettle Point Ave, East Providence, RI 02914-5375 and can be reached out via phone at 401-457-1500.
Provider Profile Details
- NPI Number
- 1427931401
- Provider Name
- Brenden Gannon
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Kettle Point Ave, East Providence, RI 02914-5375
- Phone Number
- 401-457-1500
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 28, 2025
- Last Update Date
- March 9, 2026
- Certification Date
- March 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Kettle Point Ave
East Providence, RI 02914-5375 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-5375
- Phone Number
- 401-457-1500
Provider Business Mailing Address Details
- Address
- 1 Kettle Point Ave
East Providence, RI 02914-5375 - City
- East Providence
- State
- RI
- Zip
- 02914-5375
License Information
- License Number
- PA01802
- License State
- RI
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near East Providence, RI
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- Christina N Ramirez, PA-CPhysician Assistant · NPI 1508594383
- Claudia Kane, PA-CPhysician Assistant · NPI 1295394724
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Frequently Asked Questions
What is the NPI number of Brenden Gannon, PA-C?
The NPI number of Brenden Gannon, PA-C is 1427931401. It was assigned on July 28, 2025 and is currently active in the NPPES registry.
What is the specialty of Brenden Gannon, PA-C?
Brenden Gannon, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01802.
Where does Brenden Gannon, PA-C practice?
The practice location is 1 Kettle Point Ave, East Providence, RI 02914-5375. The office can be reached at 401-457-1500 (phone).
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 1427931401 directly on the NPPES registry website.