Organization Active NPI

Brieter T C

  • Family Medicine Physician
  • Glastonbury, CT
National Provider Identifier
1700133147
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41875 Issued in CT
Legal business name
BRIETER T C
Practice address
2842 Main St Ste 309
Glastonbury, CT 06033-1077
Phone
(860) 951-2860
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Richard Muscala
Title
Ceo
Phone
(860) 951-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 41875 CT Primary

Addresses

Primary practice location

2842 Main St Ste 309
Glastonbury, CT 06033-1077

Mailing address

2842 Main St Ste 309
Glastonbury, CT 06033-1077
Phone (860) 951-2860

National Provider Directory

National Provider Directory

Locations

2842 Main St
Glastonbury, CT 06033
Phone (860) 267-0792

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1700133147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 MAIN ST STE 309",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331077",
            "telephone_number": "860-951-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 MAIN ST STE 309",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331077",
            "telephone_number": "860-951-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIETER T C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "MUSCALA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-951-2860"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "41875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.