| Brent Robert Braswell, FNP | |
|
195 Industrial Pkwy Ste 1, Lyndonville, VT 05851-4511 | |
| (802) 748-9501 | |
| (802) 748-3420 |
| Full Name | Brent Robert Braswell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 195 Industrial Pkwy Ste 1, Lyndonville, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316556921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1010134613 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Vermont Regional Hospital | Saint johnsbury, VT | Hospital |
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Vermont Regional Hospital Inc | 3678481405 | 108 |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992747737 PECOS PAC ID: 3678481405 Enrollment ID: O20050411000154 |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659459428 PECOS PAC ID: 3678481405 Enrollment ID: O20080208000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Robert Braswell, FNP Po Box 905, St Johnsbury, VT 05819-0905 Ph: (802) 748-8141 | Brent Robert Braswell, FNP 195 Industrial Pkwy Ste 1, Lyndonville, VT 05851-4511 Ph: (802) 748-9501 |
Adelaide Adjovu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 195 Industrial Pkwy, Lyndonville, VT 05851 Phone: 802-748-9501 | |
Francesca Ann Berriman, P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 313 Juniper Ln, Lyndonville, VT 05851 Phone: 802-626-9071 |