Wilfred Brown, MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

CT033266 Issued in CT

Legal business name

WILFRED BROWN, MD PC

Practice address

1579 Straits Tpke
Middlebury, CT 06762-1841

Phone

(203) 758-2564

Fax

(203) 758-2587

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Brown

Title

Office Administrator

Phone

(203) 758-2564

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wilfred Brown, MD

  • Plastic Surgery Physician
  • Middlebury, CT
  • NPI 1417053620

  Specialist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1306035266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621841",
            "telephone_number": "203-758-2564",
            "fax_number": "203-758-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621841",
            "telephone_number": "203-758-2564",
            "fax_number": "203-758-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFRED BROWN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-758-2564",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "CT033266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bohdan J Warycha, MD
• Waterbury Neurology LLC
• Jannese Lauren Webber, LCSW, LADC
• Xiao Jun Weng, MD
• Robert William White, CO
• Kimberly Wilson
• Ray Sean Wilson, LCSW
• Deanna L Wolff, PA-C
• Milagros Arel Wong
• Gregory D Wright, PT

• Specialist in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.