Active NPI
Brian Piecuch, D.C.
- Chiropractor
- Bridgeport, CT
National Provider Identifier
1396167698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1895
- Practice address
- 40 Patricia Rd Unit C
Bridgeport, CT 06606-2083 - Phone
- (203) 416-9040
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1895 | CT | Primary |
| Chiropractor | 111N00000X | 3358 | MA |
Addresses
Primary practice location
40 Patricia Rd Unit C
Bridgeport, CT 06606-2083
Mailing address
40 Patricia Rd Unit C
Bridgeport, CT 06606-2083
Phone (203) 416-9040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1895 | CT | MD | Behavioral Analyst |
| 3358 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1396167698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PATRICIA RD UNIT C",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066062083",
"telephone_number": "203-416-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 PATRICIA RD UNIT C",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066062083",
"telephone_number": "203-416-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIECUCH",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "1895",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.