Brent M Reilly in Bridgeport - Physician Assistant
Brent M Reilly - NPI 1063586147
Brent M Reilly is a Physician Assistant in Bridgeport, Connecticut. Brent M Reilly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brent M Reilly is 1063586147. The last update date is 2014-09-29.
Brent M Reilly's current location address is 2800 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2035766000. The mailing address for Brent M Reilly is 2800 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent M Reilly |
|---|---|
| Address | 2800 Main St, Bridgeport, Connecticut |
| Phone Number | 2035766000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063586147 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2014-09-29 |
Provider Mailing Address Detail
| Address | 2800 Main St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66064201 |
| Phone Number | 2035766000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1824 |
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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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Post Comment/ Review Below
What is the Brent M Reilly's unique identification number?
The Brent M Reilly has been assigned the NPI (National Provider Identifier) Number 1063586147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Brent M Reilly is physically located?
The Brent M Reilly is physically situated at the following address: 2800 Main St, Bridgeport, CT, 66064201.
When did the Brent M Reilly receive its 1063586147?
The Brent M Reilly was issued its 1063586147 on 2006-11-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Brent M Reilly's details last updated?
The information pertaining to the Brent M Reilly, including its address, specialty, and other details, was most recently updated on 2014-09-29.
As of what date were the details related to Brent M Reilly most recently updated or revised?
The information pertaining to Brent M Reilly, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-29.