NPIMap

Organization Active NPI

C. Brendan Montano MD PC

  • Internal Medicine Physician
  • Cromwell, CT
National Provider Identifier
1609062553
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
016871 Issued in CT
Legal business name
C. BRENDAN MONTANO MD PC
Practice address
160 West St
Building 1, Suite a
Cromwell, CT 06416-2441
Phone
(860) 632-0144
Fax
(860) 632-7882
NPI assigned
Sep 24, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Dr. Charles Brendan Montano, MDNPI 1487673208
Title
Owner
Phone
(860) 632-0144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016871 CT Primary

Addresses

Primary practice location

160 West St
Building 1, Suite a
Cromwell, CT 06416-2441

Mailing address

160 West St
Building 1, Auite a
Cromwell, CT 06416-2441
Phone (860) 632-0144

National Provider Directory

National Provider Directory

Locations

160 West St
Ste 1A
Cromwell, CT 06416
Phone (860) 632-0144

160 West St
Ste A
Cromwell, CT 06416
Phone (860) 632-0144

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1609062553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WEST ST",
            "address_2": "BUILDING 1, AUITE A",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-632-0144",
            "fax_number": "860-632-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WEST ST",
            "address_2": "BUILDING 1, SUITE A",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-632-0144",
            "fax_number": "860-632-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. BRENDAN MONTANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-632-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "016871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.