Individual provider · Type 1 NPI
Brian Christopher Creghan I, PA-C
Medical Physician Assistant · Hawthorne, FL
NPI number
1023138708
Active
Practice location
21815 SE 71st Ave
Hawthorne, FL 32640-3974
Fax (352) 481-5750
Mailing address
2460 Old Moultrie Rd Ste 1
St. Augustine, FL 32086-4198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9101067 (FL) |
| Physician Assistant | 363A00000X | PA9101067 (FL) |
| Medical Physician Assistant | 363AM0700X | PA-128 (GU) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Hawthorne
About NPI 1023138708
Brian Christopher Creghan I, PA-C's National Provider Identifier is 1023138708, issued on Mar 29, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hawthorne, FL. The record was last updated on Feb 19, 2026.