Casey, Brenna W
Casey, Brenna W is an individual health care provider with primary practice located at 55 Fruit St Gastroenterology Associates, Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Casey, Brenna W can be contacted via phone (617) 724-1685.Contact Information
Primary practice address
55 Fruit St Gastroenterology Associates
Boston MA 02114-2696
Phone: (617) 724-1685
Fax: (617) 724-5997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 161155 | Massachusetts |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 161155 | Massachusetts |
Profile Details
| NPI number | 1730155698 |
|---|---|
| LBN Legal business name | Casey, Brenna W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Dec 12th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730155698 | NPPES |
| Massachusetts | Other | J22586 | BCBS MA |
| Massachusetts | MEDICAID | 0107280 | BCBS MA |
| Massachusetts | Other | 161155 | BCBS MA |
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