MR. BRIAN ANDREW BRACCI (NPI# 1316070691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316070691 |
| Entity Type | Individual |
| Full Name | MR. BRIAN ANDREW BRACCI |
| Credential | CS APRN BC |
| Practice Address |
391 Shaker Road Unit 1 Enfield CT 06083 |
| Mailing Address |
391 Shaker Road Enfield CT 06083 |
| Practice Telephone | 8607636580 |
| Practice Fax Number | 8607636581 |
| Mailing Telephone | 8607636580 |
| Mailing Fax Number | 8607636581 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R53620 | CT | Nursing Service Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
002663 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MBO78646O | 01 |
| Street Address |
391 SHAKER ROAD UNIT 1 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366680548 | Echn Johnson Health Care, Inc. | Clinic/Center | 3 Weymouth Rd, Enfield, CT 06083-1153 | 2009-01-27 |
| 1740314061 | Johnson Occupational Medicine Center | Clinic/Center | 3 Weymouth Rd, Enfield, CT 06083-1153 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070827 | Hometown Health, LLC | Clinic/Center | 54 Hazard Ave # 161, Enfield, CT 06082-3845 | 2020-10-10 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1528672722 | Hartford Orthopedic Surgeons, PC | Podiatrist | 9 Cranbrook Blvd Fl 2, Enfield, CT 06082-3889 | 2020-09-04 |
| 1003428897 | Francesca Nicole Porter | Counselor | 39 Burnham St, Enfield, CT 06082-6144 | 2020-08-21 |
| 1386253102 | Damien C Grimsley | Massage Therapist | 123 Windsor St, Enfield, CT 06082-2850 | 2020-07-28 |
| 1487271680 | Zachary Leone | Physician Assistant | 74 Raffia Rd, Enfield, CT 06082-5161 | 2020-07-03 |
| 1952925083 | Amanda Govine | Occupational Therapist | 50 Brett Ln, Enfield, CT 06082-4102 | 2020-06-04 |
| 1669007076 | Pain Management Partners LLC | Anesthesiology | 7 Elm St Ste 202, Enfield, CT 06082-3670 | 2020-03-05 |
| 1487295168 | Kestin Bunnell | Specialist/Technologist | 327 Bog Rd, Enfield, NH 03748-4103 | 2019-10-03 |
| 1093366924 | Gaetano Balsamo | Technician | 188 Post Office Rd Unit 1, Enfield, CT 06082-5686 | 2019-09-23 |
| Find all providers in ENFIELD | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326058926 | Colleen Mcdermott | Clinical Nurse Specialist | 151 Hazard Ave Suite 4, Johnson Professional Associates, Enfield, CT 06082 | 2006-08-08 |
| 1962560599 | Theresa Nowinski | Clinical Nurse Specialist | 153 Hazard Ave, Enfield, CT 06082-4592 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104072073 | Patricia D. Barry, Phd, Aprn, LLC | Clinical Nurse Specialist | 60 Linnard Rd, West Hartford, CT 06107-1234 | 2008-08-12 |
| 1336262989 | Cara Marie Bartos | Clinical Nurse Specialist | 152 Simsbury Road, Building 9, Avon, CT 06001 | 2007-04-09 |
| 1669519724 | Linda Noll Demas | Clinical Nurse Specialist | 8 Ridge Dr, Old Saybrook, CT 06475-4227 | 2007-01-30 |
| 1083769590 | Nicholas Roy Gilbert | Clinical Nurse Specialist | 152 Simsbury Rd, Building 9, 2nd Floor, Avon, CT 06001-3777 | 2007-01-24 |
| 1306909601 | Lisabeth Emerson Johnston | Clinical Nurse Specialist | 361 Park Road, West Hartford, CT 06119 | 2006-12-18 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1205842127 | Arlene Dumais | Clinical Nurse Specialist | 402 Long Hill Rd, Groton, CT 06340-3811 | 2006-07-31 |
| 1598787087 | Brian Geyser | Clinical Nurse Specialist | 51 Old Village Cir, Wallingford, CT 06492-4821 | 2006-07-24 |
| 1275553562 | Debra Ann Santos | Clinical Nurse Specialist | 282 Durham Rd, Madison, CT 06443-2454 | 2006-07-20 |
| 1073552865 | Diane M Bray | Clinical Nurse Specialist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.