Organization Active NPI

Patrick Brew RN

  • Family Nurse Practitioner
  • Brookfield, CT
National Provider Identifier
1487058707
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
005758 Issued in CT
Legal business name
PATRICK BREW RN
Practice address
246 Federal Rd Ste D22
Brookfield, CT 06804-2650
Phone
(203) 244-9529
Fax
(203) 648-4172
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Patrick Brew, NPNPI 1265846927
Title
Owner/Provider
Phone
(203) 244-9529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 005758 CT Primary

Addresses

Primary practice location

246 Federal Rd Ste D22
Brookfield, CT 06804-2650

Mailing address

PO Box 266
Bridgewater, CT 06752-0266
Phone (203) 244-9529

Other names 2

  • PBK Primary Care Doing business as
  • Patrick Brew Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150108000117 CT Part B Supplier - Clinic/Group Practice 6406179928 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, CT; Middlebury, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2277117PBK Primary Care PLLC246 Federal Road, Unit D22, Brookfield, CT 06804Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

4641 Main St
Bridgeport, CT 06606
Phone (203) 244-9529

27 Hospital Ave
Ste 206
Danbury, CT 06810
Phone (203) 403-3760

30 Prospect St
Ste 500
Ridgefield, CT 06877
Phone (203) 403-3760

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1487058707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "BRIDGEWATER",
            "state": "CT",
            "postal_code": "067520266",
            "telephone_number": "203-244-9529",
            "fax_number": "203-648-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE D22",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042650",
            "telephone_number": "203-244-9529",
            "fax_number": "203-648-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK BREW RN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "BREW",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "203-244-9529",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PBK Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patrick Brew Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patrick Brew Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.