IndividualActive
Brian Theroux, PA
NPI 1275546277 · Medical Physician Assistant · E Greenwich, RI
Provider details
- NPI number
- 1275546277
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA00289 (RI)
Practice location
1672 S County Trl
Ste 101
E Greenwich, RI 02818-5098
Phone: (401) 885-7546
Fax: (401) 885-6658
Mailing address
1672 S County Trl
E Greenwich, RI 02818-5098
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2012-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.