MR. BRANDON PERVIS SR.


Address: 558 Chase Ave Ste 9, Waterbury, CT 06704-1947
Phone: 2036282394

MR. BRANDON PERVIS SR. (NPI# 1821405127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821405127
Entity Type Individual
Full Name MR. BRANDON PERVIS SR.
Credential APRN, FNP-C
Practice Address 558 Chase Ave Ste 9
Waterbury
CT 06704-1947
Mailing Address 304 S Jones Blvd Ste 1506
Las Vegas
NV 89107-2623
Practice Telephone 2036282394
Mailing Telephone 2036282394
Enumeration Date 2014-07-18
Last Update Date 2019-12-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 5748 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
5748 CT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
170 Norton St, New Haven, CT 065114061 2037476822

Office Location

Street Address 558 CHASE AVE STE 9
City WATERBURY
State CT
Zip Code 06704-1947

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104436757 John Franco Deleo Physical Therapist 8 S Commons Road, Waterbury, CT 06704 2020-08-07
1679108492 Sky Health Group PC Family Medicine 64 Blue Ridge Drive, Waterbury, CT 06704 2020-03-12
1801446554 George Ahyia Osae Jr. Physician Assistant 67 Buckland Dr, Waterbury, CT 06704 2019-09-16
1730629551 Camille Lois Thomas Licensed Practical Nurse 64 Santoro St, Waterbury, CT 06704 2017-02-27
1083925689 Allan Majeski Speech-Language Pathologist 100 Blueridge Drive Extension, Waterbury, CT 06704 2010-06-29
1417273384 Michael Augustine Marriage & Family Therapist 678 Chase Parkway, Waterbury, CT 06704 2010-04-16
1750606000 Cheryl Lynn Wilson Social Worker 103 Kara Drive, Waterbury, CT 06704 2010-03-30
1821212101 Cesar Augusto Pascal Dentist Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 2007-04-11
1639204688 Occupational Health Centers of The Southwest, P.a., P.C. Clinic/Center 8 South Commons Road, Waterbury, CT 06704 2007-02-22
1053850578 Erica Jo Cracco Pharmacist 240 Chase Ave, Waterbury, CT 06704 2017-02-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316559248 Agape Family Medical Center LLC Nurse Practitioner 1078 W Main St Ste 3, Waterbury, CT 06708-2651 2020-08-21
1508375080 Christina Audet Solomito Nurse Practitioner 133 Scovill St Ste 306, Waterbury, CT 06706-1127 2017-09-27
1558886671 Macaela Cirish Nurse Practitioner 3801 East Main Street, Second Floor, Waterbury, CT 06705 2017-08-09
1609323070 Laila Jones Nurse Practitioner 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 2016-09-02
1124484357 Melanie M.f. Nesprido Nurse Practitioner 60 Westwood Ave Ste 100, Waterbury, CT 06708-2460 2016-01-04
1447651690 Matthew L Balanda Nurse Practitioner 1389 W Main St Ste 205, Waterbury, CT 06708-3115 2014-09-08
1831523638 Eileen Anne Knox Nurse Practitioner 1253 W Main St, Waterbury, CT 06702-1418 2013-08-28
1033414867 Steven Paul Jeske Nurse Practitioner 276 Highland Ave Ste A2, Waterbury, CT 06708 2011-01-26
1982853263 Leah Lucarelli Nurse Practitioner 80 Phoenix Ave Ste 101, Waterbury, CT 06702-1418 2008-09-11
1891836110 Michelle Lynn Kennedy Nurse Practitioner 51 N Elm St, Waterbury, CT 06702-1511 2007-02-09
Find all providers in WATERBURY

Competitor

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City WATERBURY
Zip Code 06704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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