Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COREY BRISSEAU
NPI 1194413039
Internal Medicine in Philadelphia, PA

Active since April 28, 2023PECOS Enrolled
2601 HOLME AVE, PHILADELPHIA, PA 19152(215) 287-3818 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Corey Brisseau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY BRISSEAU (NPI 1194413039) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT024788) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194413039
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCOREY BRISSEAU
Location Address2601 HOLME AVEPhiladelphia, PA 19152-2096
Mailing Address5124 Arbor StPhiladelphia, PA 19120-3602 · (215) 287-3818
Sole ProprietorYes
Enumeration DateApril 28, 2023
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1194413039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OT024788
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2601 HOLME AVE, Philadelphia, PA 19152

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Corey Brisseau is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Wound Care)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Physical Medicine & Rehabilitation
2601 HOLME AVE
PHILADELPHIA, PA 19152
Pathology (Clinical Pathology/Laboratory Medicine)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Hospitalist
2601 HOLME AVE
PHILADELPHIA, PA 19152
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2601 HOLME AVE, MARIAN BLDG., GROUND FLOOR
PHILADELPHIA, PA 19152
Emergency Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Internal Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Internal Medicine (Hematology & Oncology)
2601 HOLME AVE
PHILADELPHIA, PA 19152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Brisseau's NPI number?

The NPI number for Corey Brisseau is 1194413039. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Where is Corey Brisseau located?

Corey Brisseau practices at 2601 Holme Ave, Philadelphia, PA 19152. The listed phone number is (215) 287-3818.

What is Corey Brisseau's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Corey Brisseau enrolled in Medicare?

Yes. Corey Brisseau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Corey Brisseau was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.