Joseph a Brenes MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOSEPH A BRENES MD, LLC

Practice address

464 Wolcott Rd
Wolcott, CT 06716-2626

Phone

(203) 879-3311

Fax

(203) 879-3322

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joseph A Brenes, M.D., C.M.D.

Title

Owner/Physician

Phone

(203) 879-3311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1497052203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162626",
            "telephone_number": "203-879-3311",
            "fax_number": "203-879-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162626",
            "telephone_number": "203-879-3311",
            "fax_number": "203-879-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A BRENES MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BRENES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "203-879-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., C.M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Dermatology of Wolcott PLLC
• Integrated Healthcare Center, LLC
• Juliann M Jalbert, ACAGNP-BC
• Danielle Jarjura, M.S., CCC-SLP
• Jayson Johnson, BS
• Ronald S. Jurzyk, MD
• Diana Kashtelyan-Jakobson, PHARMD
• Annaliese Kaufman
• Hoorain Nasir Khan
• Dorjan Kodra, RDH

• Internal Medicine Physician in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.