Corey Brisseau

NPI 1194413039 · on the registry since 2023 · sole proprietor

Practice

Address: 2601 Holme Ave
Philadelphia, PA 19152
Phone: (215) 287-3818
Organisation at this address: Cep America Llc
Nazareth Hospital
Nazareth Hospital
Nazareth Hospital
Nazareth Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 167

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania