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

Mr. Brian Thomas Pellicano, PA

Individual provider Physician Assistant · NPI 1497395842

Mr. Brian Thomas Pellicano, PA is a Physician Assistant in Springfield, Massachusetts. Qualified in 2020, 6 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

300 Birnie Ave Ste 201
Springfield, MA 01107-1121
Phone: (413) 785-4666
Fax: (413) 846-4756
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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 PA102074 (MA)

Record details

NPI number1497395842
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 14, 2020
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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