Buckley, Brielle Marie

Buckley, Brielle Marie is an individual health care provider with primary practice located at 801 Wellness Way Ste 107 , Sebastian FL 32958. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Buckley, Brielle Marie can be contacted via phone (772) 226-4200.

Contact Information

Primary practice address
801 Wellness Way Ste 107 Sebastian FL 32958
Phone: (772) 226-4200
Fax: (772) 581-5781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07418 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110318 Florida

Profile Details

NPI number 1528218815
LBN Legal business name Buckley, Brielle Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2008
Last updated Sep 25th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528218815 NPPES
Texas Other 8697NJ BCBS
Texas MEDICAID 328101601 BCBS
Texas Other 8663ND BCBS

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