BROOKFIELD PREVENTIVE MEDICINE LLC NPI 1740327543

NPI Information

NPI: 1740327543
Provider Name: BROOKFIELD PREVENTIVE MEDICINE, LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
300 FEDERAL RD
BUILDING 1, SUITE 100
BROOKFIELD, CT
ZIP 06804
Phone: (203) 740-7500
Get Directions

BROOKFIELD PREVENTIVE MEDICINE, LLC is a medical physician assistant in Brookfield, CT. BROOKFIELD PREVENTIVE MEDICINE, LLC NPI is 1740327543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 FEDERAL RD
BUILDING 1, SUITE 100
BROOKFIELD, CT
ZIP 06804-412
Phone: (203) 740-7500

The provider's authorized official is Eugenia Ann Corriero .
The authorized official title is Member and has the following contact phone number (203) 740-7500.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	001466	CONNECTICUT	Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »