William George Broadhurst in Brookfield - Physician Assistant
William George Broadhurst - NPI 1740277797
William George Broadhurst is a Physician Assistant in Brookfield, Connecticut. William George Broadhurst practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William George Broadhurst is 1740277797. The last update date is 2010-10-28.
William George Broadhurst's current location address is 60 Old New Milford Rd, Brookfield, Connecticut. You can contact this provider via phone number 2037756205 and fax number 2037752414. The mailing address for William George Broadhurst is 60 Old New Milford Rd, Brookfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William George Broadhurst |
|---|---|
| Address | 60 Old New Milford Rd, Brookfield, Connecticut |
| Phone Number | 2037756205 |
| Fax Number | 2037752414 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1740277797 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2010-10-28 |
Provider Mailing Address Detail
| Address | 60 Old New Milford Rd |
|---|---|
| City | Brookfield |
| State | Connecticut (CT) |
| Post Code | 68042430 |
| Phone Number | 2037756205 |
| Fax Number | 2037752414 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1092 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109200 | CT | CONNECTICARE | |
| 2V5849 | CT | HEALTHNET | |
| 290001092CT05 | CT | BLUE CROSS BLUE SHIELD | |
| P2679140 | CT | OXFORD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to William George Broadhurst by the Centers for Medicare & Medicaid Services?
The William George Broadhurst has been issued the NPI (National Provider Identifier) 1740277797 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of William George Broadhurst?
The William George Broadhurst is physically situated at 60 Old New Milford Rd, in the city of Brookfield, state of CT, with the postal code 68042430.
What is William George Broadhurst's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for William George Broadhurst is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the William George Broadhurst receive its 1740277797 assignment from the Centers for Medicare & Medicaid Services?
The William George Broadhurst was assigned its 1740277797 by the Centers for Medicare & Medicaid Services on 2005-10-04.
When was the information regarding William George Broadhurst most recently updated?
The details pertaining to the William George Broadhurst, including its address, specialty, and other relevant information, were last refreshed on 2010-10-28.
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