Provider Demographics
NPI:1760485569
Name:BREHIO, TERI L (MD)
Entity Type:Individual
Prefix:DR
First Name:TERI
Middle Name:L
Last Name:BREHIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ANTRIM RD
Mailing Address - Street 2:HDFH
Mailing Address - City:HILLSBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03244-5204
Mailing Address - Country:US
Mailing Address - Phone:603-464-3434
Mailing Address - Fax:603-464-3440
Practice Address - Street 1:15 ANTRIM RD
Practice Address - Street 2:HDFH
Practice Address - City:HILLSBORO
Practice Address - State:NH
Practice Address - Zip Code:03244-5204
Practice Address - Country:US
Practice Address - Phone:603-464-3434
Practice Address - Fax:603-464-3440
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12190207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30205705Medicaid
NH782983OtherMVP HEALTH CARE INS. #
NH9197847OtherCIGNA INS. BILLING #
NHAA17468OtherHARVARD PILGRIM INS. #
NH01Y007617NH01OtherANTHEM-FHC BILLING NUMBER
NH3621698OtherAETNA INSURANCE BILLING #
NH782984OtherMVP-FHC BILLING NUMBER
NH782983OtherMVP HEALTH CARE INS. #
NH3621698OtherAETNA INSURANCE BILLING #