Carl Veith Brueggestrat, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

CT5774 Issued in CT

Practice address

21 West Clark St
Milford, CT 06460-2517

Phone

(203) 878-2151

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639387673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WEST CLARK ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602517",
            "telephone_number": "203-878-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WEST CLARK ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602517",
            "telephone_number": "203-878-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEGGESTRAT",
        "first_name": "CARL",
        "middle_name": "VEITH",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "CT5774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF JUSTICE",
            "identifier": "AB9378969",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBST REGIST",
            "identifier": "9550",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Caroline Brown, LMSW
• Anthony Brown
• Jacqueline E Brown, SLP
• Serena-Lynn Brown, M.D.
• Michele H Brownstein, LCSW
• Marisa Bruno
• Kristen Ann Bryar, LPC
• Ann M Buchas, LCSW
• John M Buchbinder, LCSW
• Jordan Buckman

• Dentist in Milford, CT
• Providers in Milford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.