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BRENTON VAUGHN LONG D.O.
NPI 1790751154
General Practice in Shippenville, PA

Active since February 27, 2006
21159 PAINT BLVD, SUITE 2, SHIPPENVILLE, PA 16254(814) 226-6770(814) 226-1015 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenton Vaughn Long D.o. NPPES

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

BRENTON VAUGHN LONG D.O. (NPI 1790751154) is an individual general practice provider in Shippenville, Pennsylvania, licensed in Pennsylvania (OS004611L) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1790751154
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBRENTON VAUGHN LONGCredential: D.O.
Location Address21159 PAINT BLVD, SUITE 2Shippenville, PA 16254-4023
Mailing Address121 Doctors LnClarion, PA 16214-8515 · (814) 226-3470 · Fax (814) 226-3479
Phone(814) 226-6770
Fax(814) 226-1015
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateMay 29, 2008
✔ NPI 1790751154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · OS004611L
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
21159 PAINT BLVD, Shippenville, PA 16254
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Other Identifiers 3

Medicare UPIND77396PA
Medicare ID-Type Unspecified131278PA
Medicaid0008050560007PA

Other Providers at the Same Location NPPES 5

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

HEALTH SERVICES OF CLARION, INC.
Family Medicine
21159 PAINT BLVD, SUITE 2
SHIPPENVILLE, PA 16254
Clarion County (814) 226-6770
HEALTH SERVICES OF CLARION INC
Non-Pharmacy Dispensing Site
21159 PAINT BLVD, SUITE 2
SHIPPENVILLE, PA 16254
Clarion County (814) 226-6770
JANICE MARIE KENNESON D.O.
Family Medicine
21159 PAINT BLVD, SUITE 2
SHIPPENVILLE, PA 16254
Clarion County (814) 226-6770
NICOLE CARROLL D.O.
Family Medicine
21159 PAINT BLVD, SUITE 2
SHIPPENVILLE, PA 16254
Clarion County (814) 226-6770
ASHLEY NICOLE KUNSELMAN D.O.
Family Medicine
21159 PAINT BLVD, SUITE 2
SHIPPENVILLE, PA 16254
Clarion County (814) 226-6770

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 Brenton Long's NPI number?

The NPI number for Brenton Long is 1790751154. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Brenton Long located?

Brenton Long practices at 21159 Paint Blvd Suite 2, Shippenville, PA 16254. The listed phone number is (814) 226-6770.

What is Brenton Long's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Brenton Long was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.