Mr. William G Broadhurst, PAC
Physician Assistant in Brookfield, Connecticut
1740277797- Practice location
- 60 Old New Milford RD, Suite 3E, Brookfield, CT 06804-2430
- Phone
- 203-775-6205
- Fax
- 203-775-2414
- Last updated
- October 28, 2010
William George Broadhurst is a Physician Assistant based in Brookfield, CT. William George Broadhurst practices in Brookfield, CT and has the professional credentials of PAC. The NPI Number for William George Broadhurst is 1740277797 and holds a License No. 001092 (CT). The current practice location address for William George Broadhurst is 60 Old New Milford RD, Suite 3E, Brookfield, CT 06804-2430 and can be reached out via phone at 203-775-6205 and via fax at 203-775-2414.
Provider Profile Details
- NPI Number
- 1740277797
- Provider Name
- William George Broadhurst
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 60 Old New Milford RD, Suite 3E, Brookfield, CT 06804-2430
- Phone Number
- 203-775-6205
- Fax Number
- 203-775-2414
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2005
- Last Update Date
- October 28, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Old New Milford RD
Suite 3E
Brookfield, CT 06804-2430 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-2430
- Phone Number
- 203-775-6205
- Fax Number
- 203-775-2414
Provider Business Mailing Address Details
- Address
- 60 Old New Milford RD
Suite 3E
Brookfield, CT 06804-2430 - City
- Brookfield
- State
- CT
- Zip
- 06804-2430
- Phone Number
- 203-775-6205
- Fax Number
- 203-775-2414
License Information
- License Number
- 001092
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · 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 Mr. William G Broadhurst, PAC?
The NPI number of Mr. William G Broadhurst, PAC is 1740277797. It was assigned on October 4, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. William G Broadhurst, PAC?
Mr. William G Broadhurst, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001092.
Where does Mr. William G Broadhurst, PAC practice?
The practice location is 60 Old New Milford RD, Suite 3E, Brookfield, CT 06804-2430. The office can be reached at 203-775-6205 (phone) or 203-775-2414 (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 1740277797 directly on the NPPES registry website.