Active NPIIndividual provider

Jessie M Brutus, MD

Pediatrics in Niantic, Connecticut

NPI Number1659412872
Practice location
170 Flanders RD Ste 32, Niantic, CT 06357-1211
Fax
860-739-3252
Last updated
July 9, 2014

Jessie M.e. Brutus is a Pediatrics based in Niantic, CT. Jessie M.e. Brutus practices in Niantic, CT and has the professional credentials of MD. The NPI Number for Jessie M.e. Brutus is 1659412872 and holds a License No. 035843 (CT). The current practice location address for Jessie M.e. Brutus is 170 Flanders RD Ste 32, Niantic, CT 06357-1211 and can be reached out via phone at 860-739-7444 and via fax at 860-739-3252.

Provider Profile Details

NPI Number
1659412872
Provider Name
Jessie M.e. Brutus
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
170 Flanders RD Ste 32, Niantic, CT 06357-1211
Phone Number
860-739-7444
Fax Number
860-739-3252
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2007
Last Update Date
July 9, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Flanders RD Ste 32
Niantic, CT 06357-1211
Zip
06357-1211
Phone Number
860-739-7444
Fax Number
860-739-3252
Niantic, CT 06357Get directions →

Provider Business Mailing Address Details

Address
170 Flanders RD Ste 32
Niantic, CT 06357-1211
City
Niantic
State
CT
Zip
06357-1211
Phone Number
860-739-7444
Fax Number
860-739-3252

License Information

License Number
035843
License State
CT
Taxonomy
Pediatrics · 208000000X · 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 Jessie M Brutus, MD?

The NPI number of Jessie M Brutus, MD is 1659412872. It was assigned on February 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Jessie M Brutus, MD?

Jessie M Brutus, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 035843.

Where does Jessie M Brutus, MD practice?

The practice location is 170 Flanders RD Ste 32, Niantic, CT 06357-1211. The office can be reached at 860-739-7444 (phone) or 860-739-3252 (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 1659412872 directly on the NPPES registry website.

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