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

Mr. Bryan William Jennings, PA

Individual provider Medical Physician Assistant · NPI 1104278720

Mr. Bryan William Jennings, PA is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2016, 10 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
10
Licensed in
NH
In the registry since
2016
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

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 650-8380
Fax: (603) 640-1228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 267 Grant Street, Bridgeport, CT 06610 — (203) 384-5009

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1504 (NH)

Record details

NPI number1104278720
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 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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