NPI 1104692623 · live from the CMS NPI Registry
Brendan Sean Hogie
Anesthesiologist Assistant in Burlington, VT. National Provider Identifier 1104692623, active.
NPI record
| NPI | 1104692623 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiologist Assistant 367H00000X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-0000 |
| Enumerated | November 27, 2023 |
| Last updated | January 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | Unknown (CO) |
| Anesthesiologist Assistant primary | 367H00000X | 135-0000084 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.