Organization Active NPI

Brew Medical and Rejuvenation Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookfield, CT
National Provider Identifier
1841748647
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
006337 Issued in CT
Legal business name
BREW MEDICAL AND REJUVENATION CLINIC LLC
Practice address
246 Federal Rd Ste D22
Brookfield, CT 06804-2650
Phone
(203) 616-5963
Fax
(203) 900-0642
NPI assigned
Sep 21, 2016
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Tulie Patricia Brew, FNPNPI 1114398385
Title
FNP
Phone
(203) 616-5963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 006337 CT Primary

Addresses

Primary practice location

246 Federal Rd Ste D22
Brookfield, CT 06804-2650

Mailing address

246 Federal Rd Ste D22
Brookfield, CT 06804-2650
Phone (203) 616-5963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161220001558 CT Part B Supplier - Clinic/Group Practice 6901187574 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1841748647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE D22",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042650",
            "telephone_number": "203-616-5963",
            "fax_number": "203-900-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE D22",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042650",
            "telephone_number": "203-616-5963",
            "fax_number": "203-900-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREW MEDICAL AND REJUVENATION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "BREW",
        "authorized_official_first_name": "TULIE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "203-616-5963",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "006337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.