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BROOKFIELD PODIATRY NPI 1336205939


NPI Information

NPI: 1336205939
Provider Name: BROOKFIELD PODIATRY
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
246 FEDERAL RD
SUITE C-21
BROOKFIELD, CT
ZIP 06804
Phone: (203) 740-8637
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BROOKFIELD PODIATRY is a podiatrist in Brookfield, CT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BROOKFIELD PODIATRY NPI is 1336205939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

246 FEDERAL RD
SUITE C-21
BROOKFIELD, CT
ZIP 06804-647
Phone: (203) 740-8637
Fax: (203) 740-8750

The provider's authorized official is Cynthia Cornelius .
The authorized official title is Doctor and has the following contact phone number (203) 740-8637.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 2/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist000514CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T91426MEDICARE UPINCONNECTICUT
24902110001MEDICARE NSCCONNECTICUT
3030000514CT01OTHERCONNECTICUTBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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