Organization Active NPI

Marianne Bette MD, LLC

  • Family Medicine Physician
  • Southbury, CT
National Provider Identifier
1205047065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036905 Issued in CT
Legal business name
MARIANNE BETTE MD, LLC
Practice address
77 Main Street N
Suite 107
Southbury, CT 06488-1856
Phone
(203) 267-5560
Fax
(203) 250-9918
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marianne Bette, MDNPI 1144266495
Title
Owner
Phone
(203) 267-5562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036905 CT Primary

Addresses

Primary practice location

77 Main Street N
Suite 107
Southbury, CT 06488-1856

Mailing address

77 Main Street North
Suite 107
Southbury, CT 06488-1856
Phone (203) 267-5560

National Provider Directory

National Provider Directory

Locations

611 E Hill Rd
Southbury, CT 06488
Phone (203) 262-6161

77 Main St N
Ste 107
Southbury, CT 06488
Phone (203) 267-5560

Practitioners & affiliated clinicians

Practitioners 4

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205047065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MAIN STREET NORTH",
            "address_2": "SUITE 107",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881856",
            "telephone_number": "203-267-5560",
            "fax_number": "203-250-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN STREET N",
            "address_2": "SUITE 107",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881856",
            "telephone_number": "203-267-5560",
            "fax_number": "203-250-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE BETTE MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETTE",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-267-5562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "036905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.