BREW MEDICAL AND REJUVENATION CLINIC LLC (NPI# 1841748647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841748647 |
| Entity Type | Organization |
| Organization Name | BREW MEDICAL AND REJUVENATION CLINIC LLC |
| Practice Address |
27 Hospital Ave Suite 403 Danbury CT 06810-5954 |
| Practice Telephone | 2032449529 |
| Practice Fax Number | 2033557147 |
| Mailing Telephone | 2032449529 |
| Mailing Fax Number | 2033557147 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | TULIE P BREW (NURSE PRACTITIONER) |
| Authorized Official Telephone | 2032449529 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 006337 | CT | Other Service Providers |
| Street Address |
27 HOSPITAL AVE SUITE 403 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-5954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567806 | Dawn E Tendler | Nurse Anesthetist, Certified Registered | 27 Hospital Ave, Suite 202, Danbury, CT 06810-5954 | 2005-05-23 |
| 1225638950 | Maureen Lore | Nurse Practitioner | 27 Hospital Ave, Danbury, CT 06810-5954 | 2020-10-30 |
| 1275069353 | Nsl Center for Primary Care LLC | Clinic/Center | 27 Hospital Ave, Danbury, CT 06810-5954 | 2017-05-10 |
| 1467805432 | Bio Reference Laboratories, Inc. | Clinical Medical Laboratory | 27 Hospital Ave, Suite 301, Danbury, CT 06810-5954 | 2016-07-14 |
| 1457786063 | Women's Health Associates, P.C. | Advanced Practice Midwife | 27 Hospital Ave, Suite 303, Danbury, CT 06810-5954 | 2013-09-13 |
| 1063727865 | Santha T. Kurien, Md PC | Community/Behavioral Health | 27 Hospital Ave, Suite 304, Danbury, CT 06810-5954 | 2010-08-17 |
| 1497920045 | Brian K Applebee | Chiropractor | 27 Hospital Ave, Ste 102, Danbury, CT 06810-5954 | 2008-04-24 |
| 1811183312 | Z. Michael Taweh Md Inc | Internal Medicine | 27 Hospital Ave, Suite 403, Danbury, CT 06810-5954 | 2007-09-18 |
| 1942421094 | Women's Health Associates, P.C. | Obstetrics & Gynecology | 27 Hospital Ave, Suite 303, Danbury, CT 06810 | 2007-05-02 |
| 1194945824 | Beth Louise Harple | Physician Assistant | 27 Hospital Ave, Danbury, CT 06810-5954 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245769868 | Joanne Braca | Specialist | 39 Eastwood Rd, Danbury, CT 06811-3628 | 2017-06-07 |
| 1689121899 | Linda Kuti-kingham | Specialist | 36 Old Lantern Rd, Danbury, CT 06810-8444 | 2016-09-06 |
| 1114303005 | Noreen Dolan-harris | Specialist | 16 Contemporary Dr, Danbury, CT 06811-2968 | 2015-08-03 |
| 1083011589 | Pamela Denise Garrison | Specialist | 17 Cherokee Dr, Danbury, CT 06811-2825 | 2014-11-26 |
| 1790197176 | Jeannine Sam | Specialist | 16 Blackberry Rd, Danbury, CT 06811-3815 | 2014-05-20 |
| 1093141061 | Maxine E Wilson | Specialist | 15 Scuppo Rd, Unit1001, Danbury, CT 06811-5303 | 2013-09-22 |
| 1265866974 | Stephen H. Epstein | Specialist | 59 Woodcrest Lane, Danbury, CT 06810 | 2013-08-29 |
| 1962765008 | Sara Edwards | Specialist | 14 Concord Rd, Danbury, CT 06810-6331 | 2012-06-22 |
| 1962764654 | Rona Jan Levine | Specialist | 2 Silversmith Dr, Danbury, CT 06811-2602 | 2012-06-09 |
| 1033471883 | Susan Ann Mercatante | Specialist | 2b Boyce Rd, Danbury, CT 06811-4329 | 2012-06-07 |
| Find all providers in DANBURY | ||||
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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.