Individual
MR. CHRISTOPHER T BRANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
375 WAMPANOAG TRL STE 401, RIVERSIDE, RI 02915-2237
(401) 632-4455
(443) 432-6997
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 443-5122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01322
RI
363A00000X
Physician Assistant
PA6129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145724700
DEPT OF LABOR
MD
01
—
6296523
AETNA HMO
—
01
—
9115490
AETNA PPO
—
Enumeration date
06/26/2009
Last updated
01/29/2026
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