Individual provider Active NPI

Brianna Perry, PA-C

  • Dermatology Physician
  • New London, CT
National Provider Identifier
1578214706
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
6398 Issued in CT
Practice address
53 Granite Street
Suite D
New London, CT 06320
Phone
(860) 447-1419
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 6398 CT Primary
Physician Assistant 363A00000X PA01558 RI

Addresses

Primary practice location

53 Granite Street
Suite D
New London, CT 06320

Mailing address

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

Other practice location 1

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230331001814 RI Practitioner - Physician Assistant 5799150942 Reassigns benefits to 1 organization
I20240306002875 CT Practitioner - Physician Assistant 5799150942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Dermatology LLCGroup PAC ID 1759550643, 24 clinicians
The Connecticut Dermatology Group PLLCGroup PAC ID 9032147509, 28 clinicians

Practice addresses (Care Compare)

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

1250 Summer St
Suite 201
Stamford, CT 06905-5318
Phone (203) 975-1112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6398CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Dermatology LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Southcoast Physicians Group, Inc. Single Specialty PastSince Nov 9, 2025 Accepting new patients
Schweiger Dermatology PLLC Single Specialty PastSince Apr 1, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://aspire.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1578214706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 GRANITE STREET",
            "address_2": "SUITE D",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-447-1419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028425237",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "BRIANNA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CT",
            "license": "6398",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.