JO-ELLEN R BRODEUR FAMILY PRACTICE
NPI 1649281106
Physician Assistant in Worcester, MA

Active since August 10, 2006
26 QUEEN ST, MEDICAL, WORCESTER, MA 01610(508) 860-7700(508) 860-7990 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jo-ellen R Brodeur Family Practice NPPES

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

JO-ELLEN R BRODEUR FAMILY PRACTICE (NPI 1649281106) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (1962) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1649281106
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJO-ELLEN R BRODEURCredential: FAMILY PRACTICE
Location Address26 QUEEN ST, MEDICALWorcester, MA 01610-2473
Mailing Address26 Queen St, MedicalWorcester, MA 01610-2473 · (508) 860-7700 · Fax (508) 860-7990
Fax(508) 860-7990
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1649281106 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 MA · 1962
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.
26 QUEEN ST, Worcester, MA 01610

Other Identifiers 6

Medicare OSCAR/certificationQ49966MA
Other93605MA · Fallon Select
Medicare UPINQ49966MA
Medicare ID-Type Unspecified221804MA · Part A-group
Medicare ID-Type UnspecifiedAP2465MA · Part B
Medicare ID-Type UnspecifiedY10141MA · Part B-group

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.

Specialist
26 QUEEN ST
WORCESTER, MA 01610
Pharmacist
26 QUEEN ST
WORCESTER, MA 01610
Registered Nurse
26 QUEEN ST
WORCESTER, MA 01610
Registered Nurse
26 QUEEN ST
WORCESTER, MA 01610
Psychiatry & Neurology (Psychiatry)
26 QUEEN ST
WORCESTER, MA 01610
Nurse Practitioner (Psychiatric/Mental Health)
26 QUEEN ST
WORCESTER, MA 01610
Nurse Practitioner (Psychiatric/Mental Health)
26 QUEEN ST
WORCESTER, MA 01610
Dietitian, Registered
26 QUEEN ST
WORCESTER, MA 01610

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 Jo-ellen Brodeur's NPI number?

The NPI number for Jo-ellen Brodeur is 1649281106. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Jo-ellen Brodeur located?

Jo-ellen Brodeur practices at 26 Queen St Medical, Worcester, MA 01610. The listed phone number is (508) 860-7700.

What is Jo-ellen Brodeur's specialty?

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

When was this NPI record last updated?

The NPPES record for Jo-ellen Brodeur was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.