Active NPIIndividual provider

Timothy Brandriff, PA

Physician Assistant in Greenwich, Connecticut

NPI Number1740320092
Practice location
81 Holly Hill Ln Fl 3, Greenwich, CT 06830-6071
Fax
203-869-5765
Last updated
November 15, 2022

Timothy Brandriff is a Physician Assistant based in Greenwich, CT. Timothy Brandriff practices in Greenwich, CT and has the professional credentials of PA. The NPI Number for Timothy Brandriff is 1740320092 and holds a License No. OA000913 (PA). The current practice location address for Timothy Brandriff is 81 Holly Hill Ln Fl 3, Greenwich, CT 06830-6071 and can be reached out via phone at 203-869-5515 and via fax at 203-869-5765.

Provider Profile Details

NPI Number
1740320092
Provider Name
Timothy Brandriff
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
81 Holly Hill Ln Fl 3, Greenwich, CT 06830-6071
Phone Number
203-869-5515
Fax Number
203-869-5765
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 7, 2007
Last Update Date
November 15, 2022
Certification Date
November 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Holly Hill Ln Fl 3
Greenwich, CT 06830-6071
Zip
06830-6071
Phone Number
203-869-5515
Fax Number
203-869-5765
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
81 Holly Hill Ln Fl 3
Greenwich, CT 06830-6071
City
Greenwich
State
CT
Zip
06830-6071
Phone Number
203-869-5515
Fax Number
203-869-5765

License Information

License Number (1)
OA000913
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
003346
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
017907
License State (3)
NY
Taxonomy (3)
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 Timothy Brandriff, PA?

The NPI number of Timothy Brandriff, PA is 1740320092. It was assigned on February 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Timothy Brandriff, PA?

Timothy Brandriff, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number OA000913.

Where does Timothy Brandriff, PA practice?

The practice location is 81 Holly Hill Ln Fl 3, Greenwich, CT 06830-6071. The office can be reached at 203-869-5515 (phone) or 203-869-5765 (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 1740320092 directly on the NPPES registry website.

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