Active NPI
Ingrid Brinkman
- Hospitalist Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 54846
- Practice address
- 20 York St
CB-2041
New Haven, CT 06510-3220 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Jun 18, 2011
- Last updated
- Mar 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10041494 | TX | |
| Hospitalist Physician | 208M00000X | 54846 | CT | Primary |
Addresses
Primary practice location
20 York St
CB-2041
New Haven, CT 06510-3220
Mailing address
20 York St
CB-2041
New Haven, CT 06510-3220
Phone (203) 688-4748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP10041494 | Other | TX | TEXAS MEDICAL BOARD BASIC PERMIT TO PRACTICE MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Baylor College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 Belmont Ave
Suite 1051
Brattleboro, VT 05301-7214
Phone (802) 251-8611
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10041494 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Memorial Hospital | Internal Medicine | Current | Accepting new patients |
Locations
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
17 Belmont Ave
#2
Brattleboro, VT 05301
Phone (802) 251-8611
17 Belmont Ave
Ste 1051
Brattleboro, VT 05301
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
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.
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
dba Grace Cottage Hospital
- Critical Access Hospital
- Townshend, VT
- NPI 1255337473
-
- General Acute Care Hospital
- Keene, NH
- NPI 1629181516
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba MHMH Regional Services
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1497040364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST",
"address_2": "CB-2041",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"address_2": "CB-2041",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKMAN",
"first_name": "INGRID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-18",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10041494",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "54846",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD BASIC PERMIT TO PRACTICE MEDICINE",
"identifier": "BP10041494",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.