Alan Braverman, M.D.
Individual provider Active NPI Internal Medicine Physician · New Milford, CT
NPI 1093766321 · NPPES record last updated Feb 17, 2009
Key facts
- NPI
- 1093766321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 021985 (CT)
- Practice address
- 11 Grove St
Booth House
New Milford, CT 06776-3626 - Phone
- (860) 354-5511
- Fax
- (860) 210-2641
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 021985 | CT | Yes |
| Gastroenterology Physician | 207RG0100X | 021985 | CT |
Addresses
Primary practice location
11 Grove St
Booth House
New Milford, CT 06776-3626
Mailing address
11 Grove St
Booth House
New Milford, CT 06776-3626
Phone (860) 354-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100004800 | Other | CT | RAILROAD MEDICARE |
| 1219856 | Medicaid | CT |
Other providers in New Milford, CT
- Booth House Primary Care, PLLC
- Erin N. Boothby
- Kathleen Boyce
- Susan J Braccio
- Brace and Limb of Connecticut LLC
- Erica Breive
- Danielle Marie Bresson
- Cameron C Brown
- Melissa Brown
- Carol Jean Burns
All providers in New Milford, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.