Brenda Louise Applegate, M.D.
Individual provider Active NPI Family Medicine Physician · Pawcatuck, CT
NPI 1255437752 · NPPES record last updated Jan 19, 2013
Key facts
- NPI
- 1255437752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 035827 (CT)
- Practice address
- 91 Voluntown Rd
Pawcatuck, CT 06379-1366 - Phone
- (860) 599-5477
- Fax
- (860) 599-5676
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Urgent Care Colorado
Practice addresses (Care Compare)
110 E Boardwalk
Fort Collins, CO 80525-3047
Phone (970) 821-1500
2555 E 13TH St
Suite 110
Loveland, CO 80537-5134
Phone (970) 820-4264
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20210714003790 | CO | Practitioner - Family Practice | 0648356782 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035827 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Urgent Care Colorado | Current |
Accepting new patients | |
| Banner Urgent Care Colorado | Current |
Accepting new patients |
Locations
2001 70th Ave
Ste 110
Greeley, CO 80634
Phone (970) 378-4155
2555 E 13th St
Ste 110
Loveland, CO 80537
Phone (970) 461-6140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 035827 | CT | Yes |
Addresses
Primary practice location
91 Voluntown Rd
Pawcatuck, CT 06379-1366
Mailing address
91 Voluntown Rd
Pawcatuck, CT 06379-1366
Phone (860) 599-5477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3369438 | Other | CT | AETNA HMO ID |
| 5051525 | Other | CT | AETNA INS ID |
| 510427677 | Other | CT | COMMERCIAL PLANS ID |
| 741490 | Other | CT | CONNECTICARE ID |
| 001358276 | Medicaid | CT | |
| 510427677 | Other | CT | TRICARE |
| 510427677 | Other | CT | UNITED HEALTH CARE |
| P805740 | Other | CT | OXFORD ID |
| 2V2718 | Other | CT | HEALTH NET ID |
| 510427677 | Other | CT | CIGNA |
| 010035827CT02 | Other | CT | BCBS OF CT ID |
Other providers in Pawcatuck, CT
- Mary Sue Agostini
- Anthony Frank Alessio
- Susan Alfiero-Bavasso
- Emily Jane Ambeau
- Carlo Antonino
- Jennifer Roch Avedisian
- Karyn Bessette
- Sarah E Bicknell
- Vera Marie Borkowski
- Brian F Bottaro
All providers in Pawcatuck, CT · Family Medicine 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 Jan 19, 2013. 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.