Active NPI
Brennan Gibson
- Student in an Organized Health Care Education/Training Program
- Danbury, CT
National Provider Identifier
1124867635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Psychiatry Residency Program, 120 Main Street
3Rd Floor
Danbury, CT 06810 - Phone
- (203) 743-9760
- NPI assigned
- May 23, 2024
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Psychiatry Residency Program, 120 Main Street
3Rd Floor
Danbury, CT 06810
Mailing address
Psychiatry Residency Program, 120 Main Street
3Rd Floor
Danbury, CT 06810
Phone (203) 743-9760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1124867635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PSYCHIATRY RESIDENCY PROGRAM, 120 MAIN STREET",
"address_2": "3RD FLOOR",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-743-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PSYCHIATRY RESIDENCY PROGRAM, 120 MAIN STREET",
"address_2": "3RD FLOOR",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-743-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "BRENNAN",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.