Active NPIIndividual providerSole proprietor

Ms. Rena A Bruckman, MS, RD, CD-N

Dietitian, Registered in Danbury, Connecticut

NPI Number1588023535
Practice location
72 North St, Ste 205, Danbury, CT 06810-5648
Fax
203-743-1110
Last updated
February 18, 2016

Rena A Bruckman is a Dietitian, Registered based in Danbury, CT. Rena A Bruckman practices in Danbury, CT and has the professional credentials of MS, RD, CD-N. The NPI Number for Rena A Bruckman is 1588023535 and holds a License No. 001294 (CT). The current practice location address for Rena A Bruckman is 72 North St, Ste 205, Danbury, CT 06810-5648 and can be reached out via phone at 914-320-3197 and via fax at 203-743-1110.

Provider Profile Details

NPI Number
1588023535
Provider Name
Rena A Bruckman
Credential
MS, RD, CD-N
Provider Entity Type
Individual
Gender
Female
Address
72 North St, Ste 205, Danbury, CT 06810-5648
Phone Number
914-320-3197
Fax Number
203-743-1110
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 18, 2016
Last Update Date
February 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 North St
Ste 205
Danbury, CT 06810-5648
Zip
06810-5648
Phone Number
914-320-3197
Fax Number
203-743-1110
Danbury, CT 06810Get directions →

Provider Business Mailing Address Details

Address
47 Briar Ridge RD
Ridgefield, CT 06877-1034
City
Ridgefield
State
CT
Zip
06877-1034
Phone Number
914-320-3197
Fax Number
203-743-1110

License Information

License Number
001294
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · 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 Ms. Rena A Bruckman, MS, RD, CD-N?

The NPI number of Ms. Rena A Bruckman, MS, RD, CD-N is 1588023535. It was assigned on February 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Rena A Bruckman, MS, RD, CD-N?

Ms. Rena A Bruckman, MS, RD, CD-N is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 001294.

Where does Ms. Rena A Bruckman, MS, RD, CD-N practice?

The practice location is 72 North St, Ste 205, Danbury, CT 06810-5648. The office can be reached at 914-320-3197 (phone) or 203-743-1110 (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 1588023535 directly on the NPPES registry website.

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