Organization Active NPI

Michael Brines PHD MD LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Guilford, CT
National Provider Identifier
1003146432
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
027562 Issued in CT
Legal business name
MICHAEL BRINES PHD MD LLC
Practice address
2488 Boston Post Rd
Guilford, CT 06437-1368
Phone
(203) 204-6130
NPI assigned
Jan 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael L Brines, MDNPI 1871826214
Title
Chief Executive Officer
Phone
(203) 623-4427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 027562 CT Primary

Addresses

Primary practice location

2488 Boston Post Rd
Guilford, CT 06437-1368

Mailing address

1 Wepawaug Rd
Woodbridge, CT 06525-2422
Phone (203) 289-2523

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1003146432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEPAWAUG RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252422",
            "telephone_number": "203-289-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371368",
            "telephone_number": "203-204-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BRINES PHD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "BRINES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-623-4427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "027562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.