Jessie M.E. Brutus, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

035843 Issued in CT

Practice address

170 Flanders Rd Ste 32
Niantic, CT 06357-1211

Phone

(860) 739-7444

Fax

(860) 739-3252

NPI assigned

Feb 9, 2007

Last updated

Jul 9, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• East Lyme Pediatric Clinic, LLC

  • Primary Care Clinic/Center
  • Niantic, CT
  • NPI 1326265745
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1659412872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 FLANDERS RD STE 32",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571211",
            "telephone_number": "860-739-7444",
            "fax_number": "860-739-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FLANDERS RD STE 32",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571211",
            "telephone_number": "860-739-7444",
            "fax_number": "860-739-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTUS",
        "first_name": "JESSIE",
        "middle_name": "M.E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "035843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lee Blalock, IDC
• Suzanne Marie Bondy
• Leah Langford Booth, M.A.,CCC-SLP
• Laura Jean Brewster, APRN, PMHNP-BC
• Bride Brook SNF Operations LLC
• Bseb-Birth Support, Education & Beyond, Inc.
• Bettygene Buda
• Building Bridges Through Play LLC
• Cheryl A. Cantillon, OTR
• Vinneth Veronica Carvalho, M.D

• Pediatrics Physician in Niantic, CT
• Providers in Niantic, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.