Individual provider Active NPI

Brian Marc Sevigny

  • Physician Assistant
  • Newton, NH
National Provider Identifier
1699468454
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8 Williamine Dr
Newton, NH 03858-4013
Phone
(603) 475-8293
NPI assigned
May 30, 2023
Last updated
Jun 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8 Williamine Dr
Newton, NH 03858-4013

Mailing address

8 Williamine Dr
Newton, NH 03858-4013
Phone (603) 475-8293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, SC2 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
I20240821001126 NH Practitioner - Physician Assistant 0941748958
I20251002001088 SC Practitioner - Physician Assistant 0941748958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Radiology AssociatesGroup PAC ID 7315342185, 32 clinicians

Practice addresses (Care Compare)

200 4TH Ave
Mount Pleasant, SC 29464-2728
Phone (800) 475-6236

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2365

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 1

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.

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1699468454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILLIAMINE DR",
            "city": "NEWTON",
            "state": "NH",
            "postal_code": "038584013",
            "telephone_number": "603-475-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILLIAMINE DR",
            "city": "NEWTON",
            "state": "NH",
            "postal_code": "038584013",
            "telephone_number": "603-475-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVIGNY",
        "first_name": "BRIAN",
        "middle_name": "MARC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NH

Sources for this page

Verify at the official NPI Registry.