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

Mr. Shaun Timothy Brothers, PAC

Individual provider Physician Assistant · NPI 1588990790

Mr. Shaun Timothy Brothers, PAC is a Physician Assistant in Providence, Rhode Island. Works from 2 locations. Licensed in North Carolina and Rhode Island.

Licensed in
NC, RI
In the registry since
2009
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5175
Fax: (401) 444-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 781 Avent Ferry Rd Ste 102, Holly Springs, NC 27540-7776 — (919) 567-6120

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-02084 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA00703 (RI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-02084 (NC)

Record details

NPI number1588990790
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 22, 2009
Last updated in NPPESAugust 7, 2021
Certification dateAugust 7, 2021

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