Active NPI
Brooke Ballantine Redmond, M.D.
- Neonatal-Perinatal Medicine Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 55761
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-2320
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 256055 | MA | |
| Pediatrics Physician | 208000000X | 265354 | MA | |
| Pediatrics Physician | 208000000X | 55761 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 55761 | CT | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
333 Cedar St
P. O. Box 208064
New Haven, CT 06510-3206
Phone (203) 688-2320
Other practice location 1
333 Cedar St
Neonatal-Perinatal Medicine
New Haven, CT 06510-3206
Phone (203) 688-2320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256055 | MA | MD | Pediatrics Physician |
| 265354 | MA | MD | Pediatrics Physician |
| 55761 | CT | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Pediatrics | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Yale University | Pediatrics | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Baystate Medical Center Inc | Past | Accepting new patients |
Locations
333 Cedar St
New Haven, CT 06510
Phone (203) 432-4771
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
1 Park St
North Haven, CT 06504
Phone (203) 785-4643
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- bredmond337474@direct.ynhh.org
Organizations & group practices 5
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Pediatrics
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1730528068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"address_2": "P. O. BOX 208064",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-688-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-2320"
}
],
"practiceLocations": [
{
"address_1": "333 Cedar St",
"address_2": "Neonatal-Perinatal Medicine",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103206",
"country_code": "US",
"telephone_number": "203-688-2320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDMOND",
"first_name": "BROOKE",
"middle_name": "BALLANTINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "256055",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "265354",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "55761",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CT",
"license": "55761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.