Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT M REILLY, PA-C
ActiveBRENT M REILLY, PA-C is a Surgical Physician Assistant healthcare provider located in BRIDGEPORT, Connecticut. NPI 1063586147 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1063586147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.691749670046 yrs)
- Last Updated
- Sep 29, 2014
- Licenses
-
001824 (CT)001824 (CT)
Practice Information
- Address
-
2800 MAIN STST.VINCENTS MULTISPECIALTY GROUPBRIDGEPORT, CT, 066064201Browse CT providers · Browse ZIP 06606
- Phone
- 2035766000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| DOUGLAS J. WARD | PA-C | 1376518100 |
| DAVE P ANTIGNANI | PA-C | 1366406688 |
| MR. CLIFFORD S MYERS | PA-C | 1316904261 |
| PAIGE BIRNEY | P.A. | 1992738447 |
| ANN MARIE R SCHOPPMANN | PA | 1508887779 |
| JOHN SALVATORE LIGNORE | PA-C | 1851513253 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.