Beaver Pond Brook Emergency Physicians LLC
Emergency Medicine in Waterbury, Connecticut
1386173201- Practice location
- 3081 E Main St, Waterbury, CT 06705-3424
- Phone
- 469-401-2386
- Fax
- —
- Last updated
- June 5, 2017
Beaver Pond Brook Emergency Physicians LLC is a healthcare organization based in Waterbury, CT. Beaver Pond Brook Emergency Physicians LLC practices in Waterbury, CT. The NPI Number for Beaver Pond Brook Emergency Physicians LLC is 1386173201. The current practice location address for Beaver Pond Brook Emergency Physicians LLC is 3081 E Main St, Waterbury, CT 06705-3424 and can be reached out via phone at 469-401-2386.
Provider Profile Details
- NPI Number
- 1386173201
- Provider Name
- Beaver Pond Brook Emergency Physicians LLC
- Provider Entity Type
- Organization
- Address
- 3081 E Main St, Waterbury, CT 06705-3424
- Phone Number
- 469-401-2386
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Organization Subpart
- No
- Authorized Official
- Russell Harris, MD · Officer · 469-401-2386
- Provider Enumeration Date
- June 5, 2017
- Last Update Date
- June 5, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3081 E Main St
Waterbury, CT 06705-3424 - City
- Waterbury
- State
- Connecticut
- Zip
- 06705-3424
- Phone Number
- 469-401-2386
Provider Business Mailing Address Details
- Address
- 13737 Noel RD Ste 1600
Dallas, TX 75240-1374 - City
- Dallas
- State
- TX
- Zip
- 75240-1374
- Phone Number
- 469-401-2386
License Information
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Andrew T Heggland, MDEmergency Medicine · NPI 1740482488
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Frequently Asked Questions
What is the NPI number of Beaver Pond Brook Emergency Physicians LLC?
The NPI number of Beaver Pond Brook Emergency Physicians LLC is 1386173201. It was assigned on June 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Beaver Pond Brook Emergency Physicians LLC?
Beaver Pond Brook Emergency Physicians LLC is registered under the primary taxonomy Emergency Medicine (code 207P00000X).
Where does Beaver Pond Brook Emergency Physicians LLC practice?
The practice location is 3081 E Main St, Waterbury, CT 06705-3424. The office can be reached at 469-401-2386 (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 1386173201 directly on the NPPES registry website.