Nicole Christine Brzozowski, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Danbury, CT
NPI 1104351808 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1104351808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 70209 (CT)
- Practice address
- 24 Hospital Ave
Danbury, CT 06810-6077 - Phone
- (203) 739-6378
- NPI assigned
- May 1, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Florida International Univ, College of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Norwalk Community Health Center Inc
Connecticut Institute for Communities Inc
Nuvance Health Medical Practice CT Inc
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
- Danbury Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220331002433 | NY | Practitioner - Obstetrics/Gynecology | 5193090835 | |
| I20220708000957 | CT | Practitioner - Obstetrics/Gynecology | 5193090835 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70209 | CT | MD | Obstetrics & Gynecology Physician |
| 314667 | NY | MD | Obstetrics & Gynecology Physician |
| MMD.40792 LL | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk Community Health Center Inc | Current |
Accepting new patients | |
| Connecticut Institute for Communities Inc | Current |
Accepting new patients | |
| Obhg Connecticut PC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Connecticut Institute for Communities Inc | Current |
Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Current |
Accepting new patients | |
| Nuvance Health Medical Practice PC | Obstetrics & Gynecology | Current |
Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Past | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761
57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007
120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 456-1405
70 Main St
Danbury, CT 06810
Phone (203) 739-8100
120 Main St
Danbury, CT 06810
Phone (203) 456-1406
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
- https://fhir4.healow.com/fhir/r4/CCDGCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Danbury |
Other providers in Danbury, CT
- Nicole Renee Brown
- Rena A Bruckman
- Carolynn Bruno
- John James Bruno II
- Elizabeth Bryne
- Ruth Buckley-Maderski
- Lisa Ann Buckley
- Bueno Physical Therapy, LLC
- Sidonie Buissereth
- Cari Ann Bulzone
All providers in Danbury, CT · Obstetrics & Gynecology 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 May 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.