Individual provider Active NPI

Briana Brooks Komar, M.D.

  • Psychiatry Physician
  • Hartford, CT
National Provider Identifier
1548655210
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
63669 Issued in CT
Practice address
670 Prospect Ave
Hartford, CT 06105-4240
Phone
(860) 233-2600
Fax
(860) 236-8781
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 63669 CT Primary

Addresses

Primary practice location

670 Prospect Ave
Hartford, CT 06105-4240

Mailing address

211 S Main St
West Hartford, CT 06107-3453
Phone (917) 929-0291

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 11, 2022 through Nov 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63669CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Josiah Believes Unlimited LLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

670 Prospect Ave
Hartford, CT 06105
Phone (860) 233-2600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1548655210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073453",
            "telephone_number": "917-929-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054240",
            "telephone_number": "860-233-2600",
            "fax_number": "860-236-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAR",
        "first_name": "BRIANA",
        "middle_name": "BROOKS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "63669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.