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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHAUN TIMOTHY BROTHERS, PAC

Active

MR. SHAUN TIMOTHY BROTHERS, PAC is a Physician Assistant healthcare provider located in PROVIDENCE, Rhode Island. NPI 1588990790 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PROVIDENCE, RI

Registration Details

NPI Number
1588990790
Provider Type
Individual
Gender
Male
NPI Issued
Oct 22, 2009 (16.780157299342 yrs)
Last Updated
Aug 7, 2021
Licenses
PA00703 (RI)
0010-02084 (NC)
0010-02084 (NC)

Practice Information

Address
593 EDDY ST
PROVIDENCE, RI, 029034923
Browse RI providers · Browse ZIP 02903
Phone
4014445175
Fax
4014448874
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PROVIDENCE, RI

Name Credential NPI
LYNNE A BISBANO PA-C 1245234517
MICHAEL S CREMINS PHYSICIAN ASSISTANT 1083611073
NATHAN L BARRINGTON PA 1144227992
GRACIETTE DA SILVA PA-C 1144221862
KEITH B SUNDERLIN PAC 1093707655
ROBYN M OSTAPOW PA-C 1104819341
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.