Active NPIIndividual provider

Mr. Brian Fillmore, PA

Physician Assistant, Medical in Hamden, Connecticut

NPI Number1609819101
Practice location
2408 Whitney Ave, Hamden, CT 06518-3209
Fax
203-407-4244
Last updated
March 4, 2022

Brian Fillmore is a Physician Assistant, Medical based in Hamden, CT. Brian Fillmore practices in Hamden, CT and has the professional credentials of PA. The NPI Number for Brian Fillmore is 1609819101 and holds a License No. 000263 (CT). The current practice location address for Brian Fillmore is 2408 Whitney Ave, Hamden, CT 06518-3209 and can be reached out via phone at 203-407-3500 and via fax at 203-407-4244.

Provider Profile Details

NPI Number
1609819101
Provider Name
Brian Fillmore
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2408 Whitney Ave, Hamden, CT 06518-3209
Phone Number
203-407-3500
Fax Number
203-407-4244
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2006
Last Update Date
March 4, 2022
Certification Date
March 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2408 Whitney Ave
Hamden, CT 06518-3209
City
Hamden
Zip
06518-3209
Phone Number
203-407-3500
Fax Number
203-407-4244
Hamden, CT 06518Get directions →

Provider Business Mailing Address Details

Address
2408 Whitney Ave
Hamden, CT 06518-3209
City
Hamden
State
CT
Zip
06518-3209
Phone Number
203-626-0160
Fax Number
203-294-6734

License Information

License Number
000263
License State
CT
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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. Brian Fillmore, PA?

The NPI number of Mr. Brian Fillmore, PA is 1609819101. It was assigned on June 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Brian Fillmore, PA?

Mr. Brian Fillmore, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 000263.

Where does Mr. Brian Fillmore, PA practice?

The practice location is 2408 Whitney Ave, Hamden, CT 06518-3209. The office can be reached at 203-407-3500 (phone) or 203-407-4244 (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 1609819101 directly on the NPPES registry website.

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