Brookfield Preventive Medicine, LLC
Physician Assistant, Medical in Brookfield, Connecticut
1740327543- Practice location
- 300 Federal RD, Building 1, Suite 100, Brookfield, CT 06804-2412
- Phone
- 203-740-7500
- Fax
- —
- Last updated
- August 22, 2020
Brookfield Preventive Medicine, LLC is a healthcare organization based in Brookfield, CT. Brookfield Preventive Medicine, LLC practices in Brookfield, CT. The NPI Number for Brookfield Preventive Medicine, LLC is 1740327543 and holds a License No. 001466 (CT). The current practice location address for Brookfield Preventive Medicine, LLC is 300 Federal RD, Building 1, Suite 100, Brookfield, CT 06804-2412 and can be reached out via phone at 203-740-7500.
Provider Profile Details
- NPI Number
- 1740327543
- Provider Name
- Brookfield Preventive Medicine, LLC
- Provider Entity Type
- Organization
- Address
- 300 Federal RD, Building 1, Suite 100, Brookfield, CT 06804-2412
- Phone Number
- 203-740-7500
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Organization Subpart
- No
- Authorized Official
- Ms. Eugenia Ann Corriero, PA-C · Member · 203-740-7500
- Provider Enumeration Date
- January 31, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Federal RD
Building 1, Suite 100
Brookfield, CT 06804-2412 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-2412
- Phone Number
- 203-740-7500
Provider Business Mailing Address Details
- Address
- 300 Federal RD
Building 1, Suite 100
Brookfield, CT 06804-2412 - City
- Brookfield
- State
- CT
- Zip
- 06804-2412
- Phone Number
- 203-740-7500
License Information
- License Number
- 001466
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · 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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Frequently Asked Questions
What is the NPI number of Brookfield Preventive Medicine, LLC?
The NPI number of Brookfield Preventive Medicine, LLC is 1740327543. It was assigned on January 31, 2007 and is currently active in the NPPES registry.
What is the specialty of Brookfield Preventive Medicine, LLC?
Brookfield Preventive Medicine, LLC is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001466.
Where does Brookfield Preventive Medicine, LLC practice?
The practice location is 300 Federal RD, Building 1, Suite 100, Brookfield, CT 06804-2412. The office can be reached at 203-740-7500 (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 1740327543 directly on the NPPES registry website.