Active NPIIndividual provider

Dana Brunell Eisenberg

Nurse Practitioner, Pediatrics in Bridgeport, Connecticut

NPI Number1063990612
Practice location
46 Albion St, Bridgeport, CT 06605
Fax
—
Last updated
February 13, 2023

Dana Brunell Eisenberg is a Nurse Practitioner, Pediatrics based in Bridgeport, CT. Dana Brunell Eisenberg practices in Bridgeport, CT. The NPI Number for Dana Brunell Eisenberg is 1063990612 and holds a License No. 136714 (CT). The current practice location address for Dana Brunell Eisenberg is 46 Albion St, Bridgeport, CT 06605 and can be reached out via phone at 203-330-6000.

Provider Profile Details

NPI Number
1063990612
Provider Name
Dana Brunell Eisenberg
Provider Entity Type
Individual
Gender
Female
Address
46 Albion St, Bridgeport, CT 06605
Phone Number
203-330-6000
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
August 4, 2018
Last Update Date
February 13, 2023
Certification Date
February 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Albion St
Bridgeport, CT 06605
Zip
06605
Phone Number
203-330-6000
Bridgeport, CT 06605Get directions →

Provider Business Mailing Address Details

Address
140 Dixon St
Bridgeport, CT 06604-1803
City
Bridgeport
State
CT
Zip
06604-1803

License Information

License Number (1)
136714
License State (1)
CT
Taxonomy (1)
Registered Nurse, Community Health · 163WC1500X
License Number (2)
7799
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dana Brunell Eisenberg?

The NPI number of Dana Brunell Eisenberg is 1063990612. It was assigned on August 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Dana Brunell Eisenberg?

Dana Brunell Eisenberg is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 136714.

Where does Dana Brunell Eisenberg practice?

The practice location is 46 Albion St, Bridgeport, CT 06605. The office can be reached at 203-330-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063990612 directly on the NPPES registry website.

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