Individual provider Active NPI

Nicole Christine Brzozowski, M.D.

  • Obstetrics & Gynecology Physician
  • Danbury, CT
National Provider Identifier
1104351808
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
70209 Issued in CT
Practice address
24 Hospital Ave
Danbury, CT 06810-6077
Phone
(203) 739-6378
NPI assigned
May 1, 2017
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MMD.40792 LL SC
Obstetrics & Gynecology Physician 207V00000X 314667 NY
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 70209 CT Primary

Addresses

Primary practice location

24 Hospital Ave
Danbury, CT 06810-6077

Mailing address

24 Hospital Ave
Danbury, CT 06810-6077
Phone (203) 739-6378

Other practice location 1

34 Maple St
Norwalk, CT 06850-3894
Phone (203) 739-6378

Other practice location 2

120 Main St Fl 4
Danbury, CT 06810-7834
Phone (203) 743-9760

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Danbury

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220331002433 NY Practitioner - Obstetrics/Gynecology 5193090835
I20220708000957 CT Practitioner - Obstetrics/Gynecology 5193090835 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Florida International Univ, College of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Norwalk Community Health Center IncGroup PAC ID 6305988510, 29 clinicians
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005

120 Main St
Danbury, CT 06810-7834
Phone (203) 743-9760

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70209CTMDObstetrics & Gynecology Physician
MMD.40792 LLSCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Nuvance Health Medical Practice PC Obstetrics & Gynecology CurrentSince Apr 3, 2022 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Jan 31, 2024 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Jan 31, 2024 Accepting new patients
Norwalk Community Health Center Inc CurrentSince Mar 7, 2024 Accepting new patients
Obhg Connecticut PC Obstetrics & Gynecology CurrentSince Mar 1, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol Past Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 743-9760

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761

70 Main St
Danbury, CT 06810
Phone (203) 739-8100

120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1104351808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106077",
            "telephone_number": "203-739-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106077",
            "telephone_number": "203-739-6378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Maple St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068503894",
            "country_code": "US",
            "telephone_number": "203-739-6378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Main St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068107834",
            "country_code": "US",
            "telephone_number": "203-743-9760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRZOZOWSKI",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "MMD.40792 LL",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "314667",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "70209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Danbury",
            "affiliation": "N",
            "address_1": "24 Hospital Ave",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068106077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.