Active NPI
Jeremy Doucette, MD
- Internal Medicine Physician
- Branford, CT
National Provider Identifier
1245920701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 84130
- Practice address
- 960 Main St
Branford, CT 06405-3730 - Phone
- (203) 488-6358
- Fax
- (203) 481-5327
- NPI assigned
- May 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 84130 | CT | Primary |
Addresses
Primary practice location
960 Main St
Branford, CT 06405-3730
Mailing address
960 Main St
Branford, CT 06405-3730
Phone (203) 488-6358
Other practice location 1
131 Coventry St Fl 2
Hartford, CT 06112-1548
Phone (860) 714-3690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260601001579 | CT | Practitioner - Internal Medicine | 4587134481 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Connecticut School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Cynthia CT
Branford, CT 06405-4741
960 Main St
Branford, CT 06405-3730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jeremy.doucette@xdr.hhchealthdirect.org
- jdoucette2996591@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1245920701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053730",
"telephone_number": "203-488-6358",
"fax_number": "203-481-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053730",
"telephone_number": "203-488-6358",
"fax_number": "203-481-5327"
}
],
"practiceLocations": [
{
"address_1": "131 Coventry St Fl 2",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061121548",
"country_code": "US",
"telephone_number": "860-714-3690",
"fax_number": "860-714-8541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUCETTE",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-09",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "84130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.