Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Ito, PA-C

Individual provider Physician Assistant · NPI 1962022129

Brandon Ito, PA-C is a Physician Assistant in Meriden, Connecticut. Qualified in 2020, 6 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

455 Lewis Ave Ste 221
Meriden, CT 06451-2121
Phone: (203) 694-8550
Fax: (203) 694-7698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5422 (CT)

Record details

NPI number1962022129
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 17, 2020
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address1290 Silas Deane Hwy, Hartford Healthcare-Cvo, Wethersfield, CT 06109-4337

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Meriden