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

Individual provider Physician Assistant · NPI 1063586147

Brent M Reilly, PA-C is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2006, 20 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
20
Licensed in
CT
In the registry since
2006
Specialties on file
2
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

2800 Main St St.vincents Multispecialty Group
Bridgeport, CT 06606-4201
Phone: (203) 576-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 001824 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 001824 (CT)

Record details

NPI number1063586147
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESSeptember 29, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Bridgeport