COREY BRISSEAU
NPI 1194413039
Internal Medicine in Philadelphia, PA
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
Specialties & Licenses
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).
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.
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.
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
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.