Paul A Brisson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

164835 Issued in NY

Practice address

624 McClellan St
Suite 202
Schenectady, NY 12304-1020

Phone

(518) 377-6429

Fax

(518) 377-1291

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schenectady Surgical Care Associates PC

  • Surgery Physician
  • Schenectady, NY
  • NPI 1619078334
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194825208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN ST",
            "address_2": "SUITE 202",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041020",
            "telephone_number": "518-377-6429",
            "fax_number": "518-377-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN ST",
            "address_2": "SUITE 202",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041020",
            "telephone_number": "518-377-6429",
            "fax_number": "518-377-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSON",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "164835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPDP",
            "identifier": "10000212",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "28F363",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "02223",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000052185",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01069227",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426006654",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R. Breault, D.D.S.
• Brenda Louise Breen, OT
• Jonathan Joseph Brendese, M.S., CCC-SLP, CBIS
• Nicole Brennan, MA, BCBA
• Bridge Center of Schenectady, Inc.
• Leslie Aline Bristol
• Gina F.C. Britton, M.S. CCC-SLP
• Natasha Lee Brockway, HHA
• Bethany A Broderick, MD
• Maura Rose Brondi, PA

• Surgery Physician in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.