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Contact Information

BRIGETTE BROCK, PA-C
330 BORTHWICK AVE
SUITE 210
PORTSMOUTH, NH03801-4174
 Phone: 603-433-8733
 Fax: 603-433-8834
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIGETTE BROCK · (Female)

NPI Number 1871621185
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/28/2007
Last updated 05/09/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 2011
  • NH License # 0987
  • NH Medicaid 3094926
  • NH Other P01281398 RAILROAD MEDICARE
Hospital affiliation(s)
  • PORTSMOUTH REGIONAL HOSPITAL - (Acute Care)
    333 BORTHWICK AVE
    PORTSMOUTH, NH 03801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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