Individual
BRIGETTE N BEVLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145
(440) 808-1212
(440) 808-0321
Mailing address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-1212
(440) 808-0321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002849
OH
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068287
—
OH
01
—
Q00545250
MEDICARE RAILROAD
OH
Enumeration date
01/22/2009
Last updated
01/23/2024
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