Brendan Phan
Community Health Worker in Brockton, Massachusetts
1588400246- Practice location
- 30 Meadowbrook RD, Brockton, MA 02301-7122
- Phone
- 508-638-6022
- Fax
- —
- Last updated
- July 2, 2024
Brendan Phan is a Community Health Worker based in Brockton, MA. Brendan Phan practices in Brockton, MA. The NPI Number for Brendan Phan is 1588400246. The current practice location address for Brendan Phan is 30 Meadowbrook RD, Brockton, MA 02301-7122 and can be reached out via phone at 508-638-6022.
Provider Profile Details
- NPI Number
- 1588400246
- Provider Name
- Brendan Phan
- Provider Entity Type
- Individual
- Address
- 30 Meadowbrook RD, Brockton, MA 02301-7122
- Phone Number
- 508-638-6022
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 2, 2024
- Last Update Date
- July 2, 2024
- Certification Date
- July 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Meadowbrook RD
Brockton, MA 02301-7122 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7122
- Phone Number
- 508-638-6022
Provider Business Mailing Address Details
- Address
- 61 Robert RD
Stoughton, MA 02072-1057 - City
- Stoughton
- State
- MA
- Zip
- 02072-1057
- Phone Number
- 781-308-3427
License Information
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Phan?
The NPI number of Brendan Phan is 1588400246. It was assigned on July 2, 2024 and is currently active in the NPPES registry.
What is the specialty of Brendan Phan?
Brendan Phan is registered under the primary taxonomy Community Health Worker (code 172V00000X).
Where does Brendan Phan practice?
The practice location is 30 Meadowbrook RD, Brockton, MA 02301-7122. The office can be reached at 508-638-6022 (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 1588400246 directly on the NPPES registry website.