Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRANDON TIBBITTS, PA-C
Active Sole ProprietorMR. BRANDON TIBBITTS, PA-C is a Physician Assistant healthcare provider located in WETHERSFIELD, Connecticut. NPI 1205276474 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WETHERSFIELD, CT
Registration Details
- NPI Number
- 1205276474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2013 (13.142579746195 yrs)
- Last Updated
- Oct 10, 2023
- Licenses
-
003752 (CT)003752 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1290 SILAS DEANE HWYWETHERSFIELD, CT, 061094337Browse CT providers · Browse ZIP 06109
- Phone
- 8607771280
- Fax
- 8607771276
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WETHERSFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| DIANE B KECKLEY | PA | 1386621829 |
| THERESA CREAMER | PA-C, RD | 1124588611 |
| MARYAM IFTIKHAR | — | 1215490891 |
| EMMA WORLEY | — | 1255992780 |
| MRS. MACKENZIE ROSE KILPATRICK | PA-C | 1891331211 |
| CAITLIN COLE | PA-C | 1669082145 |
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.