Organization Active NPI

Dr Brian P Conner LLC

  • Chiropractor
  • Brookfield, CT
National Provider Identifier
1932549953
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR BRIAN P CONNER LLC
Practice address
366 Federal Rd
Brookfield, CT 06804-2406
Phone
(203) 775-1819
Fax
(203) 775-2028
NPI assigned
Jul 5, 2013
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHY WEIGHS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Dr. Brian Patrick Conner, DC, CNS, CDNNPI 1245577998
Title
Member
Phone
(203) 775-1819

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
Chiropractor 111N00000X CT Primary
Nutritionist 133N00000X 1485 CT

Addresses

Primary practice location

366 Federal Rd
Brookfield, CT 06804-2406

Mailing address

366 Federal Rd
Brookfield, CT 06804-2406
Phone (203) 775-1819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150211000049 CT Part B Supplier - Clinic/Group Practice 2163747361 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, CT

National Provider Directory

National Provider Directory
Part of
Healthy Weighs LLC

Locations

366 Federal Rd
Brookfield, CT 06804
Phone (203) 561-3276

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1932549953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042406",
            "telephone_number": "203-775-1819",
            "fax_number": "203-775-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042406",
            "telephone_number": "203-775-1819",
            "fax_number": "203-775-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRIAN P CONNER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY WEIGHS LLC",
        "enumeration_date": "2013-07-05",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-775-1819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CNS, CDN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "1485",
            "primary": false
        }
    ],
    "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 Dec 19, 2016; 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.