MR. BRYAN WILLIAM JENNINGS (PA) – Medical Physician Assistant, NPI 1104278720

MR. BRYAN WILLIAM JENNINGS (PA) is a healthcare provider. based in Bridgeport, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1504 (NH). The NPI Number for MR. BRYAN WILLIAM JENNINGS (PA) is 1104278720

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRYAN WILLIAM JENNINGS (PA)
NPI
1104278720
Phone
(203) 384-5009
Address
267 Grant Street
Enumeration Date
7 July 2016
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6034483122
Graduation Year
2016 (10 years ago)
PAC ID
6709160633
Group Practice PAC ID
6103737531
Professional Enrollment ID
I20191018001151
Address ID
NH037662901LE5XXXXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MR. BRYAN WILLIAM JENNINGS (PA)

  • 267 Grant Street

    Bridgeport, CT 06610

    Phone: (203) 384-5009

    Type: Location

  • 1 MEDICAL CENTER DR

    LEBANON, NH 037560001

    Phone: (603) 650-8380

    Fax: (603) 640-1228

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191018001151IPhysician AssistantNHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10053$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6752$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4128$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3732$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 06610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103737531View full group profile
NameSpecialtyState
H O S P I T A L I S TNH
Certified Registered Nurse Anesthetist (Crna)NH
Internal MedicineNH
Orthopedic SurgeryNH
Nurse PractitionerVT
Physician AssistantNH
-NH
Emergency MedicineNH
Geriatric Medicine, Internal MedicineNH
Internal MedicineNH

Reviews

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Frequently asked questions

What identifier follows MR. BRYAN WILLIAM JENNINGS (PA) across health systems?
The NPI 1104278720 uniquely identifies MR. BRYAN WILLIAM JENNINGS (PA) in U.S. healthcare data.
Does the public listing show MR. BRYAN WILLIAM JENNINGS (PA) as active?
MR. BRYAN WILLIAM JENNINGS (PA)'s NPI record reflects an active status in NPPES.
What services align with MR. BRYAN WILLIAM JENNINGS (PA)'s listing?
MR. BRYAN WILLIAM JENNINGS (PA)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MR. BRYAN WILLIAM JENNINGS (PA) in Bridgeport, Connecticut?
For routing, start with Bridgeport, Connecticut for MR. BRYAN WILLIAM JENNINGS (PA), then verify phone and hours locally.
Can I export MR. BRYAN WILLIAM JENNINGS (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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