Individual provider Active NPI

Bryan Lee Fischer, PA-C

  • Physician Assistant
  • Nashua, NH
National Provider Identifier
1891154696
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1151 Issued in NH
Practice address
268 Main St
Nashua, NH 03060-2949
Phone
(603) 577-2763
NPI assigned
Feb 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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 1151 NH Primary

Addresses

Primary practice location

268 Main St
Nashua, NH 03060-2949

Mailing address

749 Pine St
FL 2
Manchester, NH 03104-3107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20160510001571 NH Practitioner - Physician Assistant 7315236668 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1151NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

25 Ridgewood Rd
Bedford, NH 03110
Phone (603) 222-0303

30 Colby Ct
Bedford, NH 03110
Phone (603) 267-0527

191 Hackett Hill Rd
Manchester, NH 03102
Phone (603) 600-3255

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1891154696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 PINE ST",
            "address_2": "FL 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MAIN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602949",
            "telephone_number": "603-577-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "BRYAN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.