Individual provider Active NPI

Brian Andrew Bracci, CS APRN BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Enfield, CT
National Provider Identifier
1316070691
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
002663 Issued in CT
Practice address
391 Shaker Road
Unit 1
Enfield, CT 06083
Phone
(860) 763-6580
Fax
(860) 763-6581
NPI assigned
Mar 14, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 002663 CT Primary
Registered Nurse 163W00000X R53620 CT

Addresses

Primary practice location

391 Shaker Road
Unit 1
Enfield, CT 06083

Mailing address

391 Shaker Road
Enfield, CT 06083
Phone (860) 763-6580

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129000337 CT Practitioner - Nurse Practitioner 8820466675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Resources, Inc.Group PAC ID 5597652149, 50 clinicians

Practice addresses (Care Compare)

153 Hazard Ave
Enfield, CT 06082-4592
Phone (860) 523-5020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R53620CTMDRegistered Nurse
002663CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Resources, Inc. CurrentSince Aug 5, 2022 Accepting new patients

Locations

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

2 Waterside Xing
Ste 401
Windsor, CT 06095

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316070691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SHAKER ROAD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06083",
            "telephone_number": "860-763-6580",
            "fax_number": "860-763-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SHAKER ROAD",
            "address_2": "UNIT 1",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06083",
            "telephone_number": "860-763-6580",
            "fax_number": "860-763-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACCI",
        "first_name": "BRIAN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "CS APRN BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002663",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "R53620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.