Individual provider Active NPI

Brittany Craiglow, MD

  • Dermatology Physician
  • Fairfield, CT
National Provider Identifier
1053554667
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
51925 Issued in CT
Practice address
140 Sherman St FL 3
Fairfield, CT 06824-5849
Phone
(203) 538-5682
Fax
(203) 760-0172
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X 51925 CT
Dermatology Physician 207N00000X 51925 CT Primary

Addresses

Primary practice location

140 Sherman St FL 3
Fairfield, CT 06824-5849

Mailing address

140 Sherman St FL 3
Fairfield, CT 06824-5849
Phone (203) 538-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000698 CT Practitioner - Dermatology 3072755891 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51925CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Skinhealth LLP CurrentSince Aug 1, 2017 Accepting new patients
Yale University Dermatology Current Accepting new patients
Yale University CurrentSince Jul 1, 2013 Accepting new patients
Yale University CurrentSince Jul 1, 2013 Accepting new patients
Yale University Past Accepting new patients

Locations

425 Post Rd
Fl 2
Fairfield, CT 06824
Phone (203) 254-1576

140 Sherman St
Fl 3
Fairfield, CT 06824
Phone (203) 538-5682

15 York St
New Haven, CT 06510
Phone (203) 688-5303

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

4 Corporate Dr
Ste 386
Shelton, CT 06484
Phone (203) 538-5682

Interoperability endpoints

  • Direct secure messaging: bcraiglow@ctsh.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1053554667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST FL 3",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "203-538-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST FL 3",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "203-538-5682",
            "fax_number": "203-760-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGLOW",
        "first_name": "BRITTANY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CT",
            "license": "51925",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "51925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.