MEDICARE: BRIAN JOHN EAMES PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	MA067062	PA

General Provider Information

NPI Number	:	1447137849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN JOHN EAMES PA-C

Provider Business Mailing Address
First Line	:	206 E BROWN ST
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-3006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 E BROWN ST
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-3006
Country	:	US
Telephone Number	:	570-421-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	03/13/2026

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