Active NPIIndividual providerSole proprietor

Peter G Brassard, MD

Family Medicine in East Providence, Rhode Island

NPI Number1609877489
Practice location
1053 S Broadway, East Providence, RI 02914-4729
Fax
401-438-7272
Last updated
December 2, 2014

Peter George Brassard is a Family Medicine based in East Providence, RI. Peter George Brassard practices in East Providence, RI and has the professional credentials of MD. The NPI Number for Peter George Brassard is 1609877489 and holds a License No. CMD06972 (RI). The current practice location address for Peter George Brassard is 1053 S Broadway, East Providence, RI 02914-4729 and can be reached out via phone at 401-438-5551 and via fax at 401-438-7272.

Provider Profile Details

NPI Number
1609877489
Provider Name
Peter George Brassard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1053 S Broadway, East Providence, RI 02914-4729
Phone Number
401-438-5551
Fax Number
401-438-7272
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 3, 2005
Last Update Date
December 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1053 S Broadway
East Providence, RI 02914-4729
Zip
02914-4729
Phone Number
401-438-5551
Fax Number
401-438-7272
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
1053 S Broadway
East Providence, RI 02914-4729
City
East Providence
State
RI
Zip
02914-4729
Phone Number
401-438-5551
Fax Number
401-438-7272

License Information

License Number (1)
CMD06972
License State (1)
RI
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
G7396
License State (2)
TX
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
150111
License State (3)
MA
Taxonomy (3)
Family Medicine · 207Q00000X

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 Peter G Brassard, MD?

The NPI number of Peter G Brassard, MD is 1609877489. It was assigned on August 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Peter G Brassard, MD?

Peter G Brassard, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number CMD06972.

Where does Peter G Brassard, MD practice?

The practice location is 1053 S Broadway, East Providence, RI 02914-4729. The office can be reached at 401-438-5551 (phone) or 401-438-7272 (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 1609877489 directly on the NPPES registry website.

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