Active NPIIndividual providerSole proprietor

Marisa A Brough

Physician Assistant in Meriden, Connecticut

NPI Number1699609933
Practice location
435 Lewis Ave, Meriden, CT 06451-2101
Fax
—
Last updated
November 6, 2026

Marisa Anne Brough is a Physician Assistant based in Meriden, CT. Marisa Anne Brough practices in Meriden, CT. The NPI Number for Marisa Anne Brough is 1699609933 and holds a License No. 7836 (CT). The current practice location address for Marisa Anne Brough is 435 Lewis Ave, Meriden, CT 06451-2101 and can be reached out via phone at 833-286-7846.

Provider Profile Details

NPI Number
1699609933
Provider Name
Marisa Anne Brough
Provider Entity Type
Individual
Gender
Female
Address
435 Lewis Ave, Meriden, CT 06451-2101
Phone Number
833-286-7846
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 11, 2026
Last Update Date
November 6, 2026
Certification Date
November 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
435 Lewis Ave
Meriden, CT 06451-2101
Zip
06451-2101
Phone Number
833-286-7846
Meriden, CT 06451Get directions →

Provider Business Mailing Address Details

Address
435 Lewis Ave
Meriden, CT 06451-2101
City
Meriden
State
CT
Zip
06451-2101

License Information

License Number
7836
License State
CT
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 Marisa A Brough?

The NPI number of Marisa A Brough is 1699609933. It was assigned on June 11, 2026 and is currently active in the NPPES registry.

What is the specialty of Marisa A Brough?

Marisa A Brough is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 7836.

Where does Marisa A Brough practice?

The practice location is 435 Lewis Ave, Meriden, CT 06451-2101. The office can be reached at 833-286-7846 (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 1699609933 directly on the NPPES registry website.

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