NPIMap

Organization Active NPI

Brookfield Health & Injury LLC

  • Multi-Specialty Clinic/Center
  • Brookfield, CT
National Provider Identifier
1376829077
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BROOKFIELD HEALTH & INJURY LLC
Practice address
304 Federal Rd
Suite 109
Brookfield, CT 06804-2418
Phone
(203) 775-5555
Fax
(203) 775-0782
NPI assigned
Oct 25, 2011
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Richard BaileyNPI 1881622553
Title
President
Phone
(203) 775-5555

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
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

304 Federal Rd
Suite 109
Brookfield, CT 06804-2418

Mailing address

304 Federal Rd
Suite 109
Brookfield, CT 06804-2418
Phone (203) 775-5555

National Provider Directory

National Provider Directory

Locations

304 Federal Rd
Ste 109
Brookfield, CT 06804
Phone (203) 775-5555

Practitioners & affiliated clinicians

Practitioners 1

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": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1376829077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD",
            "address_2": "SUITE 109",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042418",
            "telephone_number": "203-775-5555",
            "fax_number": "203-775-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD",
            "address_2": "SUITE 109",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042418",
            "telephone_number": "203-775-5555",
            "fax_number": "203-775-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD HEALTH & INJURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-775-5555"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.