Mr. Brian M Fry, PA
Physician Assistant in Stafford Springs, Connecticut
1982681425- Practice location
- 201 Chestnut Hill RD, Stafford Springs, CT 06076-4005
- Phone
- 860-272-2916
- Fax
- 860-272-2993
- Last updated
- December 10, 2007
Brian M Fry is a Physician Assistant based in Stafford Springs, CT. Brian M Fry practices in Stafford Springs, CT and has the professional credentials of PA. The NPI Number for Brian M Fry is 1982681425 and holds a License No. 000769 (CT). The current practice location address for Brian M Fry is 201 Chestnut Hill RD, Stafford Springs, CT 06076-4005 and can be reached out via phone at 860-272-2916 and via fax at 860-272-2993.
Provider Profile Details
- NPI Number
- 1982681425
- Provider Name
- Brian M Fry
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 201 Chestnut Hill RD, Stafford Springs, CT 06076-4005
- Phone Number
- 860-272-2916
- Fax Number
- 860-272-2993
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 27, 2005
- Last Update Date
- December 10, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 Chestnut Hill RD
Stafford Springs, CT 06076-4005 - City
- Stafford Springs
- State
- Connecticut
- Zip
- 06076-4005
- Phone Number
- 860-272-2916
- Fax Number
- 860-272-2993
Provider Business Mailing Address Details
- Address
- Po Box 307
Johnson Professional Associates
Wilbraham, MA 01095 - City
- Wilbraham
- State
- MA
- Zip
- 01095
- Phone Number
- 508-595-0531
- Fax Number
- 508-829-5367
License Information
- License Number
- 000769
- 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. Brian M Fry, PA?
The NPI number of Mr. Brian M Fry, PA is 1982681425. It was assigned on December 27, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Brian M Fry, PA?
Mr. Brian M Fry, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000769.
Where does Mr. Brian M Fry, PA practice?
The practice location is 201 Chestnut Hill RD, Stafford Springs, CT 06076-4005. The office can be reached at 860-272-2916 (phone) or 860-272-2993 (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 1982681425 directly on the NPPES registry website.