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

Brett Sullivan

Individual provider Physician Assistant · NPI 1649954355

Brett Sullivan is a Physician Assistant in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone: (570) 808-6000
Fax: (570) 808-6061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA064655 (PA)

Record details

NPI number1649954355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 13, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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