Brian Fillmore, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000263 Issued in CT

Practice address

2408 Whitney Ave
Hamden, CT 06518-3209

Phone

(203) 407-3500

Fax

(203) 407-4244

NPI assigned

Jun 13, 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

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Merit-based Incentive Payment System (MIPS)

Final score

87.81 of 100Reported as group

Quality

79.31

Promoting interoperability

100

Improvement activities

40

Cost

80.04

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: briang.fillmore@xdr.hhchealthdirect.org

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

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment NPD
• Northeast Medical Group, Inc

  dba Cardiac Specialists

  • Cardiovascular Disease Physician
  • Fairfield, CT
  • NPI 1366745267
  NPD
• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138
  NPD (past)
• U.S. Healthworks Medical Group of Connecticut, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Branford, CT
  • NPI 1609856178
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1609819101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-407-3500",
            "fax_number": "203-407-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Fernandez, LCSW
• Christina Ferneini, PA
• Paul Feuerstadt, M.D.
• Andrew J Fezza, MD
• Alyssa Inigo Figlar, MSPT
• Lisa Fillmore, MD
• Finding My Path, LLC
• Fine & Gillette M.D.'S
• Emily A Fine, M.D.
• First Step Gentle Care Labor Doula Service

• Medical Physician Assistant in Hamden, CT
• Providers in Hamden, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.