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BRIAN P CASSERLY M.D. NPI 1407073901


NPI Information

NPI: 1407073901
Provider Name: BRIAN P CASSERLY, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
111 BREWSTER ST
PULMONARY DEPARTMENT
PAWTUCKET, RI
ZIP 02860
Phone: (401) 729-2636
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Brian P Casserly, M.D. is a pulmonary disease internal medicine in Pawtucket, RI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Brian P Casserly, M.D. NPI is 1407073901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 BREWSTER ST
PULMONARY DEPARTMENT
PAWTUCKET, RI
ZIP 02860-400
Phone: (401) 729-2636
Fax: (401) 729-2157

The enumeration date for this NPI number is 4/19/2007 and was last updated on 5/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseMD12646RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BC72040MEDICAIDRHODE ISLAND
2007060296OTHERRHODE ISLANDMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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