Tom Brosnahan, PA
Physician Assistant in Marshfield, WI. Individual provider (NPI-1).
NPI number1972601730
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1972601730
- Entity type
- Individual (NPI-1)
- Name
- Tom Brosnahan
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 60 | WI | Yes |
Practice location
1000 N Oak AveMarshfield, WI 54449
Phone 715-387-5309
Mailing address
1000 N Oak AveMarshfield, WI 54449-5777
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.
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All 61 Physician Assistant providers in Marshfield · All 1,533 providers in Marshfield
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