BROOKFIELD PODIATRY (NPI# 1336205939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336205939 |
| Entity Type | Organization |
| Organization Name | BROOKFIELD PODIATRY |
| Practice Address |
246 Federal Rd Suite C-21 Brookfield CT 06804-2647 |
| Practice Telephone | 2037408637 |
| Practice Fax Number | 2037408750 |
| Mailing Telephone | 2037408637 |
| Mailing Fax Number | 2037408750 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-02-20 |
| Authorized Official Name | CYNTHIA CORNELIUS (DOCTOR) |
| Authorized Official Telephone | 2037408637 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000514 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS BLUE SHIELD | 030000514CT01 | 01 |
| Street Address |
246 FEDERAL RD SUITE C-21 |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060207 | Jeffrey Baron | Dentist | 246 Federal Rd, Suite C-25, Brookfield, CT 06804-2647 | 2005-08-18 |
| 1033688775 | Bekim Selmani | Massage Therapist | 246 Federal Rd, Brookfield, CT 06804-2647 | 2018-11-23 |
| 1588013205 | Fiorita Valentino LLC | Acupuncturist | 246 Federal Rd, C23a, Brookfield, CT 06804-2647 | 2016-06-03 |
| 1184072142 | Shanee Chandler | Optometrist | 246 Federal Rd, Suite A-11, Brookfield, CT 06804-2647 | 2016-06-01 |
| 1497148696 | It Is Time, LLC | Social Worker | 246 Federal Rd, Brookfield, CT 06804-2647 | 2015-03-11 |
| 1174924401 | Marie Padgett | Marriage & Family Therapist | 246 Federal Rd, Cl-41, Brookfield, CT 06804-2647 | 2014-09-05 |
| 1194144816 | Susan Casale | Social Worker | 246 Federal Rd, Suite D22, Brookfield, CT 06804-2647 | 2014-04-09 |
| 1851717177 | Sarah H. Jones, Lcsw, LLC | Social Worker | 246 Federal Rd, Unit Cl-41, Brookfield, CT 06804-2647 | 2014-03-11 |
| 1689011033 | Scott A. Bialik, Dds LLC | Dentist | 246 Federal Rd, Suite D 13, Brookfield, CT 06804-2647 | 2013-05-24 |
| 1578827200 | Deborah A Augenbraun, Psyd LLC | Psychologist | 246 Federal Rd, Suite C23-a, Brookfield, CT 06804-2647 | 2012-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
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| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866033 | Podiatric Management Systems LLC | Podiatrist | 9230 Broadway Ave, Brookfield, IL 60513-1252 | 2020-09-18 |
| 1780081984 | Dr Kathleen M Schafer Dpm Inc | Podiatrist | 9230 Broadway Ave, Brookfield, IL 60513-1252 | 2014-12-03 |
| 1114157955 | Demetria Martin | Podiatrist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2009-07-14 |
| 1235287079 | Cynthia Jeanne Cornelius | Podiatrist | 246 Federal Rd, Ste C21, Brookfield, CT 06804-2647 | 2007-01-08 |
| 1992803886 | Jeffrey Alan Hengel | Podiatrist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-09-21 |
| 1902905888 | Andrew Angelo Sengos | Podiatrist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-09-21 |
| 1730287657 | Renae Ann Luer | Podiatrist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-09-21 |
| 1679504427 | Healthdrive Podiatry Group, PC | Podiatrist | 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | 2006-07-06 |
| 1346287505 | Kathleen Marie Schafer | Podiatrist | 9230 Broadway Ave, Brookfield, IL 60513-1252 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686815 | Connecticut Podiatry Partners, Pllc | Podiatrist | 300 Church St Ste 203, Wallingford, CT 06492-2253 | 2020-03-31 |
| 1790293207 | New Canaan Podiatry LLC | Podiatrist | 107 Cherry St, New Canaan, CT 06840-5521 | 2018-01-18 |
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1497299408 | New England Foot Care LLC | Podiatrist | 351 Salmon Brook St, Granby, CT 06035-1804 | 2016-12-09 |
| 1588084362 | Stephen Lazaroff | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2014-04-21 |
| 1528493244 | Housatonic Valley Podiatric Center LLC | Podiatrist | 333 River Road, Shelton, CT 06484-5120 | 2013-09-12 |
| 1437494135 | Associated Podiatrists of Greenwich LLC | Podiatrist | 282 Railroad Avenue, Greenwich, CT 06830 | 2012-12-06 |
| 1689934739 | Advanced Footcare Center | Podiatrist | 189 Durham Rd, Guilford, CT 06437-2087 | 2012-05-23 |
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1285946426 | Manal Anz | Podiatrist | 333 River Rd, Shelton, CT 06484-4422 | 2010-07-03 |
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| City | BROOKFIELD |
| Zip Code | 06804 |
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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.