Brianne Doherty

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

66166 Issued in CT

Practice address

114 Woodland St
Emergency Department
Hartford, CT 06105

Phone

(631) 444-3880

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in CT, MA2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bdoherty724423@direct.ynhh.org
• Direct secure messaging: bdoherty2389558@direct.trinity-health.org

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.

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Waterbury, CT
  • NPI 1700681202
  Medicare reassignment NPD
• Trinity Health of New England Provider Network Organization Inc

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812
  Medicare reassignment NPD
• Mercy Inpatient Medical Associates Inc.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1407845282
  Medicare reassignment NPD
• Bridgeport Hospital

  • General Acute Care Hospital
  • Milford, CT
  • NPI 1891376810
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Hartford, CT
  • NPI 1609671114
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Trinity Health of New England Provider Network Organization Inc

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1639601545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "631-444-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "BRIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "66166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anudeep Kaur Dodeja, M.D.
• Ann Dodge
• Laura S Dodge
• Njeri Elizabeth Dodson, DMD
• Peter J. Doelger, MD
• Connor Doherty, PA-C
• Donias Doko, MD
• Cheryl Lynn Doll, APRN
• Hannah Dollhopf
• Mirjana J Domakonda, MD

• Emergency Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Emergency Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.