Brian Christopher Eddy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

044569 Issued in CT

Practice address

22 Hooker Dr
West Hartford, CT 06107-3729

Phone

(860) 679-6700

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Solstice Healthcare, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, CT
  • NPI 1346570637
  NPD (past)
• Valley Consulting LLC

  • Nurse Practitioner
  • Newport, RI
  • NPI 1093016859
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063583466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOOKER DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073729",
            "telephone_number": "860-679-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HOOKER DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073729",
            "telephone_number": "860-679-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "044569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Rehabilitation Network
• Eastern Rehabilitation Network
• Desmond Walter Ebanks, MD
• Eclipse Counseling LLC
• Katie Eddins, M.S., CCC-SLP
• Janet May Edmondson, OTR
• Marc T Edwards, MD
• Stephanie Edwards, PA-C
• Karissa Ekwall
• Sarah Elbaum, MD

• Psychiatry Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.