Individual provider · Type 1 NPI

Corey Brisseau

Internal Medicine Physician · Philadelphia, PA

NPI number 1194413039 Active

Practice location

2601 Holme Ave
Philadelphia, PA 19152-2096

Call (215) 287-3818 Map

Mailing address

5124 Arbor St
Philadelphia, PA 19120-3602

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XOT024788 (PA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1194413039

Corey Brisseau's National Provider Identifier is 1194413039, issued on Apr 28, 2023. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 29, 2026.