Tracey G O'Brien, MD
Internal Medicine, Critical Care Medicine in Bridgeport, Connecticut
1467914630- Practice location
- 2800 Main St, Bridgeport, CT 06606-4201
- Phone
- 475-210-5663
- Fax
- 475-210-4079
- Last updated
- May 10, 2024
Tracey Glenn O'Brien is an Internal Medicine, Critical Care Medicine based in Bridgeport, CT. Tracey Glenn O'Brien practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Tracey Glenn O'Brien is 1467914630 and holds a License No. 077052 (CT). The current practice location address for Tracey Glenn O'Brien is 2800 Main St, Bridgeport, CT 06606-4201 and can be reached out via phone at 475-210-5663 and via fax at 475-210-4079.
Provider Profile Details
- NPI Number
- 1467914630
- Provider Name
- Tracey Glenn O'Brien
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2800 Main St, Bridgeport, CT 06606-4201
- Phone Number
- 475-210-5663
- Fax Number
- 475-210-4079
- Primary Taxonomy
- Internal Medicine, Critical Care Medicine · 207RC0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 4, 2019
- Last Update Date
- May 10, 2024
- Certification Date
- March 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2800 Main St
Bridgeport, CT 06606-4201 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-4201
- Phone Number
- 475-210-5663
- Fax Number
- 475-210-4079
Provider Business Mailing Address Details
- Address
- 8268 164TH St
Jamaica, NY 11432-1104 - City
- Jamaica
- State
- NY
- Zip
- 11432-1104
- Phone Number
- 203-651-9147
License Information
- License Number
- 077052
- License State
- CT
- Taxonomy
- Internal Medicine, Critical Care Medicine · 207RC0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Critical Care Medicine providers near Bridgeport, CT
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Frequently Asked Questions
What is the NPI number of Tracey G O'Brien, MD?
The NPI number of Tracey G O'Brien, MD is 1467914630. It was assigned on April 4, 2019 and is currently active in the NPPES registry.
What is the specialty of Tracey G O'Brien, MD?
Tracey G O'Brien, MD is registered under the primary taxonomy Internal Medicine, Critical Care Medicine (code 207RC0200X), licensed in CT under license number 077052.
Where does Tracey G O'Brien, MD practice?
The practice location is 2800 Main St, Bridgeport, CT 06606-4201. The office can be reached at 475-210-5663 (phone) or 475-210-4079 (fax).
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 1467914630 directly on the NPPES registry website.