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

Corey Brisseau

Individual provider Internal Medicine Physician · NPI 1194413039

Corey Brisseau is an Internal Medicine Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

2601 Holme Ave
Philadelphia, PA 19152-2096
Phone: (215) 287-3818
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OT024788 (PA)

Record details

NPI number1194413039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 28, 2023
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

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