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Brian P McComb, PA-C

Physician Assistant in Oregon, WI. Individual provider (NPI-1).

NPI number1669958070
StatusActive
Last updated in NPPESNov 7, 2024

Details

NPI
1669958070
Entity type
Individual (NPI-1)
Name
Brian P McComb
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2018
Certification date
Nov 7, 2024
Last updated
Nov 7, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant4456-23WIYes

Practice location

678 Inverness St
Oregon, WI 53575-3848

Phone 608-263-0333

Mailing address

678 Inverness St
Oregon, WI 53575-3848

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Oregon, WI

All 6 Physician Assistant providers in Oregon · All 207 providers in Oregon

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