Brenden G Tully, PA
Brenden G Tully, PA is a Physician Assistant in Ashtabula, Ohio. Qualified in 2023, 3 years ago. Practices with Bloomington Medical Services LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 3
- Licensed in
- OH
- In the registry since
- 2023
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2420 Lake AveAshtabula, OH 44004-4954
Phone: (440) 997-2262
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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 50.008422RX (OH) |
|---|
Record details
| NPI number | 1720765969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2023 |
| Last updated in NPPES | October 10, 2023 |
| Certification date | October 10, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Bloomington Medical Services Llc — 106 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Ashtabula
-
Sidney Elizabeth Powell
2420 Lake Ave, Ashtabula, OH 44004-4954 · (440) 997-6969
-
Alicia Serafino, PA-C
524 W 24th St, Ashtabula, OH 44004-3423 · (440) 997-6915
-
Andrea M Swartout
4211 Birchwood Ave, Ashtabula, OH 44004-6063 · (440) 993-1267
-
MS. Sophia Anna Thorman, PA-C
2141 Lake Ave, Ashtabula, OH 44004-3435 · (440) 443-0442
-
Kate Wagner, PA-C
524 W 24th St, Ashtabula, OH 44004-3423 · (440) 496-6500
-
Beth Zanko, PA-C
2422 Lake Ave, Ashtabula, OH 44004-4985 · (440) 997-6731