BRENNA R. ERZEN (NPI# 1871154179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871154179 |
| Entity Type | Individual |
| Full Name | BRENNA R. ERZEN |
| Credential | PA |
| Practice Address |
4 Hawthorne Dr Bedford NH 03110-6983 |
| Practice Telephone | 6034728888 |
| Practice Fax Number | 6034729090 |
| Mailing Telephone | 6034728888 |
| Mailing Fax Number | 6034729090 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1503 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1503 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4 HAWTHORNE DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191293 | Thomas Jackson Kleeman | Orthopaedic Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2005-08-22 |
| 1477052033 | Ryan Ward Dumigan | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-02-08 |
| 1568970176 | Theresa Mary Brisson | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-01-17 |
| 1205361052 | Minimally Invasive Surgery Center of N.e., LLC | Clinic/Center | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2017-04-28 |
| 1306200423 | Timothy Miller | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2016-04-06 |
| 1255709135 | Benjamin C. Blanchette | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-09-09 |
| 1538550843 | Amy Fernald | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-02-09 |
| 1649603796 | Justine Nims-largy | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110 | 2013-08-13 |
| 1821338344 | Matthew E. Porter | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-20 |
| 1679812861 | Drue A Lorenz | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992281679 | Surgical Masters First Assistants | Physician Assistant | 2708 Maple Brook Ct, Bedford, TX 76021-7212 | 2018-07-16 |
| 1427594381 | Katrina Jackson Holley | Physician Assistant | 1604 Hospital Pkwy Ste 501, Bedford, TX 76022-6932 | 2017-01-16 |
| 1821338344 | Matthew E. Porter | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-20 |
| 1730294828 | Carl Travis Palmer | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2006-08-20 |
| 1356456263 | Brian Edward Snow | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2006-08-20 |
| 1699784314 | Dovie Mcvean | Physician Assistant | 2008 L Don Dodson Dr, Suite 110, Bedford, TX 76021-5788 | 2006-08-05 |
| 1841210804 | William J White | Physician Assistant | 1604 Hospital Pkwy, Suite 407, Bedford, TX 76022-6986 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578053914 | Scott David Mithoefer | Physician Assistant | 155 Borthwick Ave Ste 101, Portsmouth, NH 03801-7156 | 2018-05-10 |
| 1255889549 | Jade Ashton Durgin | Physician Assistant | 424 Old Street Road Suite 201, Peterborough, NH 03458 | 2016-09-14 |
| 1245538990 | Megan S Welch | Physician Assistant | 16 Pelham Rd Ste 1, Salem, NH 03079 | 2011-03-04 |
| 1457515223 | Georgia A Plamondon | Physician Assistant | 248 Pleasant St Ste G200, Concord, NH 03301-7529 | 2008-07-11 |
| 1447364393 | Denise C Smith | Physician Assistant | 3 Alumni Dr Ste 402, Exeter, NH 03833-2123 | 2006-08-18 |
| 1114947850 | David Harrison Sargent | Physician Assistant | 246 Pleasant St Ste 205, Concord, NH 03301-2548 | 2006-07-19 |
| 1861441545 | Kevin Robert Costello | Physician Assistant | 458 Old Street Rd, Suite 200, Peterborough, NH 03458-1265 | 2006-05-09 |
| 1619934932 | Carolyn M Guillette | Physician Assistant | 3 Alumni Dr Ste 204, Exeter, NH 03833-2122 | 2006-04-28 |
| 1427038751 | Lawrence O'malley | Physician Assistant | 264 Pleasant St, Concord, NH 03301-2551 | 2006-01-20 |
| 1306830153 | Peter Garfield Shactman | Physician Assistant | 3 Alumni Dr Ste 101, Exeter, NH 03833-2122 | 2005-09-08 |
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| 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.