Brendan C Conroy, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101.0137044 Issued in VT

Practice address

430 Ireland Rd
Bristol, VT 05443-5015

Phone

(802) 398-7040

Fax

(802) 944-0120

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 29, 2024 through Apr 29, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Full Circle Medicine

  • Gerontology Nurse Practitioner
  • Bristol, VT
  • NPI 1013831262
  NPD (past) Authorized official

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1508610304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "054610413",
            "telephone_number": "802-398-7040",
            "fax_number": "802-944-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 IRELAND RD",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054435015",
            "telephone_number": "802-398-7040",
            "fax_number": "802-944-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "BRENDAN",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0137044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Physical Therapy & Bodywork, PLC
• Charles Edward Clark, MD
• Isabelle G Clark
• Kimberly A Clark, PT
• Michelle Cobb
• Cassandra Corcoran, LCMHC
• James K Cossaart, DDS
• Lindsey Victoria Coward, FNP-BC
• Michelle S. Davis, MS, CCC-SLP
• Melissa Anne Deas, L.M., C.P.M.

• Family Nurse Practitioner in Bristol, VT
• Providers in Bristol, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.