Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brenden Gannon, PA-C

Individual provider Physician Assistant · NPI 1427931401

Brenden Gannon, PA-C is a Physician Assistant in East Providence, Rhode Island. Qualified in 2025, 1 year ago. Practices with University Orthopedics Inc, a 183-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2025
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

1 Kettle Point Ave
East Providence, RI 02914-5375
Phone: (401) 457-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1598 S County Trl, East Greenwich, RI 02818-1762 — (401) 457-1500
  • 2 Dudley St Ste 200, Providence, RI 02905-3252 — (401) 457-1500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01802 (RI)

Record details

NPI number1427931401
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Orthopedics Inc — 183 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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