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BRENDEN GANNON PA-C
NPI 1427931401
Physician Assistant in East Providence, RI

Active since July 28, 2025PECOS EnrolledAccepts Medicare Assignment
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914(401) 457-1500 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brenden Gannon Pa-c NPPES

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

BRENDEN GANNON PA-C (NPI 1427931401) is an individual physician assistant in East Providence, Rhode Island, licensed in Rhode Island (PA01802) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1427931401
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRENDEN GANNONCredential: PA-C
Location Address1 KETTLE POINT AVEEast Providence, RI 02914-5375
Mailing Address1 Kettle Point AveEast Providence, RI 02914-5375
Phone(401) 457-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 28, 2025
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1427931401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA01802
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 KETTLE POINT AVE, East Providence, RI 02914
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brenden Gannon Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567945660
PECOS Enrollment IDI20260317000282
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 02914 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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.

BRAD D. BLANKENHORN M.D.
Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 330-1405
ELIZABETH MOORE NP
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1500
DANIELLE BARRY NP-C
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1500
OLIVIA PERRY PA-C
Physician Assistant
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1500
JACLYN R PLANTE DPT
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 277-0790
JARED WINSTON DPT
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 443-5000
DR. ALEXANDER CRAWFORD
Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1500
MELISSA VIENS OT
Occupational Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1580

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 Brenden Gannon's NPI number?

The NPI number for Brenden Gannon is 1427931401. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Brenden Gannon located?

Brenden Gannon practices at 1 Kettle Point Ave, East Providence, RI 02914. The listed phone number is (401) 457-1500.

What is Brenden Gannon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brenden Gannon enrolled in Medicare?

Yes. Brenden Gannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brenden Gannon was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.