Active NPIIndividual provider

Mr. Kevin J Brochu, PA

Physician Assistant in Burlington, Vermont

NPI Number1518991728
Practice location
111 Colchester Ave, Fahc Emergency Services, Burlington, VT 05401-1473
Fax
802-847-5963
Last updated
August 9, 2013

Kevin John Brochu is a Physician Assistant based in Burlington, VT. Kevin John Brochu practices in Burlington, VT and has the professional credentials of PA. The NPI Number for Kevin John Brochu is 1518991728 and holds a License No. 55-0030269 (VT). The current practice location address for Kevin John Brochu is 111 Colchester Ave, Fahc Emergency Services, Burlington, VT 05401-1473 and can be reached out via phone at 802-847-1237 and via fax at 802-847-5963.

Provider Profile Details

NPI Number
1518991728
Provider Name
Kevin John Brochu
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
111 Colchester Ave, Fahc Emergency Services, Burlington, VT 05401-1473
Phone Number
802-847-1237
Fax Number
802-847-5963
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2006
Last Update Date
August 9, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Colchester Ave
Fahc Emergency Services
Burlington, VT 05401-1473
State
Vermont
Zip
05401-1473
Phone Number
802-847-1237
Fax Number
802-847-5963
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
76 Slate Barn Dr
Williston, VT 05495-5344
City
Williston
State
VT
Zip
05495-5344
Phone Number
802-879-2983

License Information

License Number
55-0030269
License State
VT
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 Mr. Kevin J Brochu, PA?

The NPI number of Mr. Kevin J Brochu, PA is 1518991728. It was assigned on July 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin J Brochu, PA?

Mr. Kevin J Brochu, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 55-0030269.

Where does Mr. Kevin J Brochu, PA practice?

The practice location is 111 Colchester Ave, Fahc Emergency Services, Burlington, VT 05401-1473. The office can be reached at 802-847-1237 (phone) or 802-847-5963 (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 1518991728 directly on the NPPES registry website.

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