Organization Active NPI

Brian P. Deschamps, DPM

  • Durable Medical Equipment & Medical Supplies
  • Vernon, CT
National Provider Identifier
1063616449
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
000504 Issued in CT
Legal business name
BRIAN P. DESCHAMPS, DPM
Practice address
351 Merline Rd
Suite 101
Vernon, CT 06066-4040
Phone
(860) 857-7078
Fax
(860) 857-8991
NPI assigned
Jun 12, 2007
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIAN P. DESCHAMPS, DPMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Brian Peter Deschamps, DPM
Title
Owner
Phone
(806) 875-7078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 000504 CT Primary

Addresses

Primary practice location

351 Merline Rd
Suite 101
Vernon, CT 06066-4040

Mailing address

196 Parkway S
Suite 304
Waterford, CT 06385-1234
Phone (860) 442-7027

National Provider Directory

National Provider Directory
Part of
Brian P Deschamps DPM

Locations

351 Merline Rd
Ste 101
Vernon Rockville, CT 06066
Phone (860) 871-1613

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1063616449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 304",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-442-7027",
            "fax_number": "860-444-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MERLINE RD",
            "address_2": "SUITE 101",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664040",
            "telephone_number": "860-857-7078",
            "fax_number": "860-857-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN P. DESCHAMPS, DPM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIAN P. DESCHAMPS, DPM",
        "enumeration_date": "2007-06-12",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "DESCHAMPS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-875-7078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "000504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.