NPI 1871621185 · live from the CMS NPI Registry
Brigette Brock, PA-C
Physician Assistant, Medical in Portsmouth, NH. National Provider Identifier 1871621185, active.
NPI record
| NPI | 1871621185 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 330 Borthwick Ave, Suite 210, Portsmouth, NH 03801 |
| Practice phone | 603-433-8733 |
| Enumerated | February 28, 2007 |
| Last updated | May 9, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 2011 (MA) |
| Physician Assistant, Surgical | 363AS0400X | 2011 (MA) |
| Physician Assistant, Medical primary | 363AM0700X | 0987 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.