BRIGETTE BROCK (NPI# 1871621185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871621185 |
| Entity Type | Individual |
| Full Name | BRIGETTE BROCK |
| Credential | PA-C |
| Practice Address |
330 Borthwick Ave Suite 210 Portsmouth NH 03801-4174 |
| Practice Telephone | 6034338733 |
| Practice Fax Number | 6034338834 |
| Mailing Telephone | 6034338733 |
| Mailing Fax Number | 6034338834 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0987 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2011 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2011 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3094926 | 05 | |
| NH | RAILROAD MEDICARE | P01281398 | 01 |
| Street Address |
330 BORTHWICK AVE SUITE 210 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955691 | Charles J Gaudet | Plastic Surgery | 330 Borthwick Ave, Ste 206, Portsmouth, NH 03801-4174 | 2005-07-12 |
| 1760041784 | Jaclyn Heather Johnston | Physician Assistant | 330 Borthwick Ave, Portsmouth, NH 03801-4174 | 2019-06-12 |
| 1215486097 | Chelsey R Andrea | Nurse Practitioner | 330 Borthwick Ave, Suite 101, Portsmouth, NH 03801-4174 | 2016-09-22 |
| 1790231660 | Shauna Nancy Sedler | Nurse Practitioner | 330 Borthwick Ave, Suite 111, Portsmouth, NH 03801-4174 | 2016-08-30 |
| 1376904409 | Samantha Myers | Nurse Practitioner | 330 Borthwick Ave, Suite 205, Portsmouth, NH 03801-4174 | 2016-03-17 |
| 1497161228 | Friendship City Acute Trauma LLC | Surgery | 330 Borthwick Ave, Ste 200, Portsmouth, NH 03801-4174 | 2014-07-01 |
| 1215354683 | Seacoast Dermatology Pllc | Dermatology | 330 Borthwick Ave, Suite 303, Portsmouth, NH 03801-4174 | 2014-03-24 |
| 1174967509 | Sarah E Vandeventer | Physician Assistant | 330 Borthwick Ave, Suite 301, Portsmouth, NH 03801-4174 | 2013-04-29 |
| 1316284599 | Nancy K Charest | Audiologist | 330 Borthwick Ave, Suite 209, Portsmouth, NH 03801-4174 | 2013-01-09 |
| 1902143100 | Erica L Regan | Audiologist | 330 Borthwick Ave, Ste. 209, Portsmouth, NH 03801-4174 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508047010 | James Alfred Carroll | Physician Assistant | One Ayer's Circle, Bldg H-1, Portsmouth Naval Shipyard, Naval Branch Health Clinic, Portsmouth, NH 03804-5000 | 2007-11-27 |
| 1164517504 | Kathleen Ann Ballentine | Physician Assistant | 333 Borthwick Ave, Suite 301, Knees, Hops, Shoulders, Portsmouth, NH 03801 | 2006-10-03 |
| 1467462945 | Angela Jean Cerezo | Physician Assistant | 600 Crawford St, Suite 300, Portsmouth, VA 23704-3820 | 2006-08-08 |
| 1184609125 | Renald Rouillard | Physician Assistant | 1 Ayers Cir, Bldg H-1, Portsmouth, NH 03801-3892 | 2005-12-13 |
| 1588650501 | Mara S Smith | Physician Assistant | 121 Corporate Drive, Suite 200, Portsmouth, NH 03801 | 2005-09-26 |
| 1184180663 | Emily Farrell | Physician Assistant | 330 Borthwick Ave Ste 303, Portsmouth, NH 03801-7109 | 2019-02-20 |
| 1356741151 | Rachel Whitman | Physician Assistant | 330 Borthwick Ave Ste 311, Portsmouth, NH 03801-7112 | 2014-08-28 |
| 1376970350 | Anne Macadam | Physician Assistant | 100 Campus Dr Ste 12, Portsmouth, NH 03801-5892 | 2013-10-04 |
| 1821349200 | Kirsten Nicole Allred | Physician Assistant | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2012-09-26 |
| 1992095608 | Elizabeth Mclaughlin Snyder | Physician Assistant | 3636 High St, Portsmouth, VA 23707-3236 | 2011-04-14 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on BRIGETTE BROCK.
| 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.